JOHN M RUDDY, D.C., PLLC
NPI 1730573510
Chiropractor in Amityville, NY

Active since March 19, 2015
77 BROADWAY, SUITE 6, AMITYVILLE, NY 11701(631) 608-0522(631) 956-4138 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John M Ruddy, D.c., Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN M RUDDY, D.C., PLLC (NPI 1730573510), doing business as Full Potential Sports Care, is a healthcare organization registered as a chiropractor in Amityville, New York and active in the NPI registry since March 2015. The organization lists John M Ruddy, Owner, as its authorized official.

NPPES Registry Identity

NPI1730573510
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJOHN M RUDDY, D.C., PLLC
Location Address77 BROADWAY, SUITE 6Amityville, NY 11701-2714
Mailing Address77 Broadway, Suite 6Amityville, NY 11701-2714 · (631) 608-0522 · Fax (631) 956-4138
Fax(631) 956-4138
Organization SubpartNo
Authorized OfficialJohn M RuddyOwner · (631) 786-9147
Enumeration DateMarch 19, 2015
Last NPPES UpdateNovember 24, 2025
NPPES CertifiedNovember 24, 2025
NPI 1730573510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NY · 011261
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

77 BROADWAY, Amityville, NY 11701

Other Names 1

Doing Business AsFull Potential Sports Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
77 BROADWAY
AMITYVILLE, NY 11701
Social Worker (Clinical)
77 BROADWAY
AMITYVILLE, NY 11701
Social Worker
77 BROADWAY, SUITE 7
AMITYVILLE, NY 11701
Social Worker
77 BROADWAY, SUITE #7
AMITYVILLE, NY 11701
Podiatrist
77 BROADWAY
AMITYVILLE, NY 11701
Social Worker (Clinical)
77 BROADWAY, SUITE7
AMITYVILLE, NY 11701
Counselor (Mental Health)
77 BROADWAY
AMITYVILLE, NY 11701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John M Ruddy, D.C., PLLC's NPI number?

The NPI number for John M Ruddy, D.C., PLLC is 1730573510. It was assigned to this organization in the NPPES registry on March 19, 2015. The provider is doing business as Full Potential Sports Care.

Where is John M Ruddy, D.C., PLLC located?

John M Ruddy, D.C., PLLC is located at 77 Broadway Suite 6, Amityville, NY 11701. The listed phone number is (631) 608-0522.

What is John M Ruddy, D.C., PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for John M Ruddy, D.C., PLLC was last updated on November 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.