Active NPI
Kristina Mary Ruby, DPT
- Physical Therapist
- Dallas, PA
National Provider Identifier
1164085254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT027516
- Practice address
- 301 Lake St
Dallas, PA 18612-7752 - Phone
- (570) 266-2920
- NPI assigned
- Apr 15, 2019
- 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 | PT027516 | PA | Primary |
Addresses
Primary practice location
301 Lake St
Dallas, PA 18612-7752
Mailing address
523 Phoenix St
Duryea, PA 18642-1451
Phone (570) 540-6750
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 |
|---|---|---|---|
| PT027516 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1164085254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 PHOENIX ST",
"city": "DURYEA",
"state": "PA",
"postal_code": "186421451",
"telephone_number": "570-540-6750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 LAKE ST",
"city": "DALLAS",
"state": "PA",
"postal_code": "186127752",
"telephone_number": "570-266-2920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBY",
"first_name": "KRISTINA",
"middle_name": "MARY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-15",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT027516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.