Jay Ruban, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070027008 Issued in IL

Practice address

814 Hillgrove Ave
Western Springs, IL 60558-1439

Phone

(708) 505-3900

NPI assigned

Apr 20, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Root Rehab LLCGroup PAC ID 5092219212, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Root Rehab LLC

  • Physical Therapist
  • La Grange, IL
  • NPI 1528760477
  Medicare reassignment Care Compare group NPD
• Clarity Physical Therapy and Wellness Center, LLC

  • Physical Therapist
  • Western Springs, IL
  • NPI 1588082747
  Medicare reassignment NPD

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1275220162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 HILLGROVE AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581439",
            "telephone_number": "708-505-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 HILLGROVE AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581439",
            "telephone_number": "708-505-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBAN",
        "first_name": "JAY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070027008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Isabel Romero
• Domenico Romozzi
• Roundys Supermarkets Inc
• Renee G Rowley, PT, PCS
• Brian L Rozanski, D.P.M.
• Renee Rubinelli
• Mark Edward Runge, DDS, MS
• Nathan D Rusk, DPT
• Jeri Susan Russell-Aiello, R.N.
• Patricia Elizabeth Sagols, PHARM.D.

• Physical Therapist in Western Springs, IL
• Providers in Western Springs, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.