Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jon J Ruttenberg, LPT

Individual provider Physical Therapist · NPI 1790959658

Jon J Ruttenberg, LPT is a Physical Therapist in Private Practice in Baltimore, Maryland. Qualified in 2000, 26 years ago. Practices with Back Home Therapy, a 4-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
26
Licensed in
MD
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

8415 Bellona Ln Ste 201
Baltimore, MD 21204-2055
Phone: (410) 821-7775
Fax: (410) 821-1320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 19917 (MD)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 19917 (MD)

Record details

NPI number1790959658
Entity typeIndividual (Type 1)
GenderMale
Credentials LPT
Sole proprietorNo
NPI enumeratedApril 22, 2008
Last updated in NPPESApril 22, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Back Home Therapy — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Baltimore