Individual provider Active NPI

Theresa E Ruby, PT, LMHC, PHD

  • Geriatric Physical Therapist
  • Taunton, MA
National Provider Identifier
1124174784
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
3232 Issued in MA
Practice address
1 Washington St CCBC
Taunton, MA 02780-4374
Phone
(508) 828-9116
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6108 MA
Geriatric Physical Therapist 2251G0304X 3232 MA Primary

Addresses

Primary practice location

1 Washington St CCBC
Taunton, MA 02780-4374

Mailing address

22 Arbor Way
Taunton, MA 02780-4374
Phone (508) 823-4316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807002383 MA Practitioner - Mental Health Counselor 8527505627 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6108MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling of Bristol County Inc CurrentSince Jul 1, 2024 Accepting new patients
Community Counseling of Bristol County, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Community Counseling of Bristol County, Inc. PastSince Aug 4, 2024 Accepting new patients
Community Counseling of Bristol County, Inc. PastSince Feb 23, 2025 Accepting new patients

Locations

5 Bank St
Attleboro, MA 02703
Phone (508) 222-0302

1 Washington St
Ste 10
Taunton, MA 02780
Phone (508) 828-9116

1 Washington St
Taunton, MA 02780
Phone (508) 828-9116

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1124174784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ARBOR WAY",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027804374",
            "telephone_number": "508-823-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST CCBC",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027804374",
            "telephone_number": "508-828-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBY",
        "first_name": "THERESA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PT, LMHC, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "6108",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MA",
            "license": "3232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.