Individual provider Active NPI

David L Rubsam, PT, OCS, ASTYM

  • Physical Therapist
  • Marion, IA
National Provider Identifier
1124346507
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1609 Issued in IA
Practice address
999 44TH St
Suite 10,000
Marion, IA 52302-3846
Phone
(319) 373-7311
Fax
(319) 373-7313
NPI assigned
May 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 01609 IA
Physical Therapist 225100000X 1609 IA Primary

Addresses

Primary practice location

999 44TH St
Suite 10,000
Marion, IA 52302-3846

Mailing address

999 44TH St
Suite 10,000
Marion, IA 52302-3846
Phone (319) 373-7311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817001033 IA Practitioner - Physical Therapist in Private Practice 2668506379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Medical CenterGroup PAC ID 4183535271, 295 clinicians

Practice addresses (Care Compare)

701 10TH St SE
Cedar Rapids, IA 52403-1251

701 10TH St SE
Cedar Rapids, IA 52403-1292

701 10TH St SE J Edward Lundy
Mercy Pediatric Clinic
Cedar Rapids, IA 52403-1251
Phone (319) 832-2328

777 76TH Ave Dr SW
Cedar Rapids, IA 52404-7006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1609IAMDPhysical Therapist
01609IAMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center CurrentSince May 1, 2022 Accepting new patients
Physicians' Clinic of Iowa, PC CurrentSince Jun 16, 2014 Accepting new patients
Mercy Medical Center CurrentSince May 1, 2022 Accepting new patients
Mercy Medical Center Current Accepting new patients
Physicians Clinic of Iowa, PC CurrentSince Jun 16, 2014 Accepting new patients

Locations

202 10th St SE
Cedar Rapids, IA 52403
Phone (319) 247-3010

202 10th St SE
Ste 165
Cedar Rapids, IA 52403
Phone (319) 247-3049

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIJCBD

Organizations & group practices 9

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": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1124346507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 44TH ST",
            "address_2": "SUITE 10,000",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023846",
            "telephone_number": "319-373-7311",
            "fax_number": "319-373-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 44TH ST",
            "address_2": "SUITE 10,000",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023846",
            "telephone_number": "319-373-7311",
            "fax_number": "319-373-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBSAM",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PT, OCS, ASTYM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-11",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "IA",
            "license": "01609",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "1609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.