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

Kailey Jo Ruffilo, DPT

Individual provider Physical Therapist · NPI 1811394893

Kailey Jo Ruffilo, DPT is a Physical Therapist in Private Practice in Grand Rapids, Michigan. Qualified in 2014, 12 years ago. Works from 2 locations. Licensed in Michigan and Tennessee.

Years since qualifying
12
Licensed in
MI, TN
In the registry since
2014
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

150 Jefferson Ave SE Ste 100
Grand Rapids, MI 49503-4306
Phone: (616) 356-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Luther Rd, Dickson, TN 37055-2112 — (615) 740-9782

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501016935 (MI)
Physical Therapist Taxonomy 225100000X (TN)

Record details

NPI number1811394893
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 19, 2014
Last updated in NPPESFebruary 2, 2022
Certification dateFebruary 2, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

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