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

Michael Rucker, PTA

Individual provider Physical Therapy Assistant · NPI 1720751464

Michael Rucker, PTA is a Physical Therapy Assistant in Grants Pass, Oregon. Licensed in Oregon. Registered with an NPI since 2021.

Licensed in
OR
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

544 Union Ave
Grants Pass, OR 97527-5544
Phone: (541) 955-0940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 9986 (OR)

Record details

NPI number1720751464
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 28, 2021
Last updated in NPPESJuly 28, 2021
Certification dateJuly 28, 2021
Mailing address544 Union Ave, Grants Pass, OR 97527-5544

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