JASON G RUZICKA (CHT) – Hand Occupational Therapist, NPI 1346440930

JASON G RUZICKA (CHT) is a healthcare provider. based in Liberty lake, Washington. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials CHT. They hold a License No. OT00003412 (WA). The NPI Number for JASON G RUZICKA (CHT) is 1346440930

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
JASON G RUZICKA (CHT)
NPI
1346440930
Phone
(509) 624-2313
Address
PO BOX 421
Enumeration Date
20 July 2007
Last Update Date
26 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
3274626270
Group Practice PAC ID
0345139929
Professional Enrollment ID
I20070907000159
Address ID
WA992163522SP16528CTXX400

Contacts

Secure Messaging
jruzicka309499@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness95
Years active:18State licenses:1Other names

460 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for JASON G RUZICKA (CHT)

  • 421, Liberty Lane, Evesham Township, Burlington County, New Jersey, 08053-5344, United States

    LIBERTY LAKE, WA 990190421

    Phone: (509) 624-2313

    Type: Mailing

  • 16528 DESMET CT

    SPOKANE VALLEY, WA 992163522

    Phone: (509) 944-8920

    Fax: (509) 227-7070

    Type: Location

  • PO BOX 31001

    PASADENA, CA 911104114

    Phone: (509) 624-2313

    Type: Mailing

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: 2007-09-07

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
I20070907000159IOccupational Therapist In Private PracticeWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes17174$0
97165Evaluation for occupational therapy, typically 30 minutes8075$0
View full utilization report →

Insurance plans in this area (ZIP 99019)

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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: 0345139929View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to JASON G RUZICKA (CHT)?
NPI 1346440930 is assigned to JASON G RUZICKA (CHT) under the national enumeration system.
Is JASON G RUZICKA (CHT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JASON G RUZICKA (CHT) list a primary specialty?
If you are matching referrals, note Hand Occupational Therapist for JASON G RUZICKA (CHT). Clinical services aligned with this taxonomy classification.
Does JASON G RUZICKA (CHT) practice in Washington?
You will see Liberty Lake, Washington on file for JASON G RUZICKA (CHT) alongside any extra practice locations.
How can I contact JASON G RUZICKA (CHT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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