Active NPI
David L Rubsam, PT, OCS, ASTYM
- Physical Therapist
- Marion, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1609
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1609 | IA | MD | Physical Therapist |
| 01609 | IA | MD | Physical Rehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Center | Current | Accepting new patients | |
| Physicians' Clinic of Iowa, PC | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Physicians Clinic of Iowa, PC | Current | 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
- 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.
-
- Community/Retail Pharmacy
- Cedar Rapids, IA
- NPI 1114923513
-
- Community Based Hospice Care Agency
- Hiawatha, IA
- NPI 1033159769
-
- Rehabilitation Hospital Unit
- Cedar Rapids, IA
- NPI 1467639062
-
- Home Health Agency
- Cedar Rapids, IA
- NPI 1639119332
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1720029333
-
- Cardiovascular Disease Physician
- Cedar Rapids, IA
- NPI 1669617106
-
- Specialty Pharmacy
- Cedar Rapids, IA
- NPI 1295064111
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.