Active NPI
Shiela Rubia Jabujab, PT
- Physical Therapist
- Poughkeepsie, NY
National Provider Identifier
1013183441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029716
- Practice address
- 100 Franklin St
Poughkeepsie, NY 12601-4341 - Phone
- (845) 454-4100
- Fax
- (845) 454-4175
- NPI assigned
- May 6, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 029716 | NY | Primary |
Addresses
Primary practice location
100 Franklin St
Poughkeepsie, NY 12601-4341
Mailing address
1920 Old Springville Rd
Ste. 104
Birmingham, AL 35215-5858
Phone (205) 520-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029716 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1013183441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 OLD SPRINGVILLE RD",
"address_2": "STE. 104",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352155858",
"telephone_number": "205-520-9600",
"fax_number": "205-520-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FRANKLIN ST",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126014341",
"telephone_number": "845-454-4100",
"fax_number": "845-454-4175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABUJAB",
"first_name": "SHIELA",
"middle_name": "RUBIA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-06",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.