TRYSTAN CADE RUIZ – Physical Therapist, NPI 1871474585

TRYSTAN CADE RUIZ is a healthcare provider. based in Choctaw, Oklahoma. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 6792 (OK). The NPI Number for TRYSTAN CADE RUIZ is 1871474585

Main info

Organization
1 Year Of Experience
Accepts Medicare Assignment
Name
TRYSTAN CADE RUIZ
NPI
1871474585
Phone
Not provided
Address
14230 HUMMINGBIRD DR
Enumeration Date
9 September 2025
Last Update Date
9 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052306330
Graduation Year
2025 (1 year ago)
PAC ID
1052801750
Group Practice PAC ID
0042563264
Professional Enrollment ID
I20251110002280
Address ID
OK731163201OK7415XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

845 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OK

Provider Addresses for TRYSTAN CADE RUIZ

  • 14230 HUMMINGBIRD DR

    CHOCTAW, OK 730207023

    Phone:

    Type: Mailing

  • 7415 N MAY AVE

    OKLAHOMA CITY, OK 731163201

    Phone: (405) 400-8909

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251110002280IPhysical Therapist In Private PracticeOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73020)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042563264View full group profile
NameSpecialtyState
-OK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK

Reviews

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Frequently asked questions

What is the standard ID for TRYSTAN CADE RUIZ in the U.S.?
In the U.S., TRYSTAN CADE RUIZ is identified by NPI 1871474585.
Does the public listing show TRYSTAN CADE RUIZ as active?
TRYSTAN CADE RUIZ's NPI record reflects an active status in NPPES.
What type of care does TRYSTAN CADE RUIZ provide?
TRYSTAN CADE RUIZ's profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit TRYSTAN CADE RUIZ in Choctaw, Oklahoma?
For routing, start with Choctaw, Oklahoma for TRYSTAN CADE RUIZ, then verify phone and hours locally.
Why is information missing for TRYSTAN CADE RUIZ?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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