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

Mary Ruth Persson, PT

Individual provider Physical Therapist · NPI 1861725517

Mary Ruth Persson, PT is a Physical Therapist in Private Practice in Crown Point, Indiana. Qualified in 2009, 17 years ago. Practices with Innovative Physical Therapy LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Arkansas and Indiana.

Years since qualifying
17
Licensed in
AR, IN
In the registry since
2009
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

60 W 94th Pl
Crown Point, IN 46307-1710
Phone: (219) 926-5850
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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 3179 (AR)
Physical Therapist Taxonomy 225100000X · Licence CP055256T (IN)

Record details

NPI number1861725517
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 14, 2009
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Innovative Physical Therapy Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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