Active NPI
Matthew Scott Rubel, P.T.
- Physical Therapist
- Cape Girardeau, MO
National Provider Identifier
1124152442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2000173378
- Practice address
- 3047 William St.
Cape Girardeau, MO 63703 - Phone
- (573) 339-5989
- Fax
- (573) 339-7092
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- 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 | 2000173378 | MO | Primary |
Addresses
Primary practice location
3047 William St.
Cape Girardeau, MO 63703
Mailing address
2235 Oak St.
Jackson, MO 63755
Phone (573) 204-7648
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid America Rehab, P.C. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Cape Girardeau, MO
- NPI 1639143357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124152442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2235 OAK ST.",
"city": "JACKSON",
"state": "MO",
"postal_code": "63755",
"telephone_number": "573-204-7648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3047 WILLIAM ST.",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "63703",
"telephone_number": "573-339-5989",
"fax_number": "573-339-7092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBEL",
"first_name": "MATTHEW",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2000173378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.