Jenna Rubio

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA18161 Issued in FL

Practice address

840 SE Osceola St
Stuart, FL 34994-2432

Phone

(772) 291-1614

NPI assigned

Dec 8, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1275244469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11375 SW DISCOVERY WAY APT 206",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872567",
            "telephone_number": "386-848-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942432",
            "telephone_number": "772-291-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "JENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA18161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY ASSISTANT",
            "identifier": "OTA18161",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ClinicSource",
            "affiliation": "N",
            "address_1": "840 SE Osceola St",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349942432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Royal Palm Beach Rehab, Corp. (Florida Orthocare)
• Christopher Andrew Royall, PA-C
• Donnie Monique Rubert, ARNP
• Ingrid Rubi, HHA
• Elizabeth Rubin, RCSWI
• Rene Rubio
• Valerie Rose Ruch, ARNP
• Jaquoria Rucker
• Tommy Rucks
• Michelle A Rudas, M.S

• Occupational Therapy Assistant in Stuart, FL
• Providers in Stuart, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.