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

Mr. Jacob Elijah Ruiz, PTA

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1972453132

Mr. Jacob Elijah Ruiz, PTA is a Physical Medicine & Rehabilitation Physician in Poughkeepsie, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026
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

1910 S Rd
Poughkeepsie, NY 12601-6053
Phone: (845) 454-8377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 014805 (NY)

Record details

NPI number1972453132
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 29, 2026
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026

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