# JOHN M RUDDY, D.C., PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Full Potential Sports Care, Full Potential Sports Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730573510
- **Authorized official:** DR. JOHN M RUDDY DC (OWNER)
- **Authorized official phone:** (631) 786-9147

## Contact information

- **Practice address:** 77 BROADWAY, SUITE 6, AMITYVILLE, NY 11701-2714
- **Practice address phone:** (631) 608-0522
- **Practice address fax:** (631) 956-4138
- **Mailing address:** 77 BROADWAY, SUITE 6, AMITYVILLE, NY 11701-2714
- **Mailing address phone:** (631) 608-0522
- **Mailing address fax:** (631) 956-4138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 011261 | NY | Yes |

## Other

- **Enumeration date:** 03/19/2015
- **Last updated:** 11/24/2025