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Active NPI 1578642914 Individual Practitioner Male Practitioner

Michael Gene Rucker , LPO

Prosthetist • Tenino, WA

Professional Overview & Biography Verified Profile Summary

Michael Rucker, LPO is a registered healthcare professional specializing in Prosthetist in Tenino, WA. Practice services are available at 548 SUSSEX AVE W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

548 Sussex Ave W

Tenino, WA 985899341

Telephone 3602646553
Fax 3602642621
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Tenino, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Tenino, WA (133 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License WA PS00081

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Orthotist

NUCC Taxonomy Code: 222Z00000X

State License WA OI00082

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Regence Bs Id
6050SC (WA)
Commercial Insurance / Payer ID Dshs Id
9047440 (WA)
Commercial Insurance / Payer ID Ein
91-19414989 (WA)
Commercial Insurance / Payer ID Labor & Industries Id
126134 (WA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 17, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2007

Registered at 548 SUSSEX AVE W, TENINO, WA 985899341 (Tel: 3602646553)

📍
Updated Business Mailing Address December 17, 2007

Registered at 225 143RD AVE SE, TENINO, WA 985899604 (Tel: 3602645342)

👤
Provider Name / Credentials Updated December 17, 2007

Recorded as MICHAEL RUCKER, LPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2007

Orthotist (License #OI00082 in WA)

🟢
Initial NPI Registration & Enumeration November 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578642914
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2006
Last Update: December 17, 2007
Sole Proprietor: Yes

Mailing Address

225 143rd Ave Se

Tenino, WA 985899604

Phone: 3602645342

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.