Individual provider Active NPI

Ian L. Rubinstein, M.P.T., M.R.

  • Physical Therapist
  • Norwell, MA
National Provider Identifier
1245339308
Registry record updated Sep 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9431 Issued in MA
Practice address
320 Washington St
Norwell, MA 02061-1700
Phone
(508) 246-4233
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9431 MA Primary

Addresses

Primary practice location

320 Washington St
Norwell, MA 02061-1700

Mailing address

4 King Arthurs Way
Bourne, MA 02532-2376
Phone (508) 246-4233

Other practice location 1

130 Corporate Park Drive
Pembroke, MA 02359
Phone (508) 246-4233

Other identifiers 3

IdentifierTypeStateIssuer
3965358OtherMAAETNA
494389OtherMATUFTS
Y67244OtherMABC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051108000843 MA Practitioner - Physical Therapist in Private Practice 7214955202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

320 Washington St
Suite 2
Norwell, MA 02061-1700
Phone (508) 246-4233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9431MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eclectic Physical Therapy Physical Therapist CurrentSince Jan 10, 2000 Accepting new patients

Locations

320 Washington St
Norwell, MA 02061
Phone (508) 246-4233

320 Washington St
Ste 2
Norwell, MA 02061
Phone (508) 246-4233

130 Corporate Park Dr
Pembroke, MA 02359
Phone (508) 246-4233

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1245339308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 KING ARTHURS WAY",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025322376",
            "telephone_number": "508-246-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611700",
            "telephone_number": "508-246-4233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Corporate Park Drive",
            "address_purpose": "LOCATION",
            "city": "Pembroke",
            "state": "MA",
            "postal_code": "02359",
            "country_code": "US",
            "telephone_number": "508-246-4233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBINSTEIN",
        "first_name": "IAN",
        "middle_name": "L.",
        "credential": "M.P.T., M.R.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "9431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3965358",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "494389",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "Y67244",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; 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.