Mary-Jo Rubin, M.A., P.T., A.P.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2048 Issued in FL

Practice address

8645 N Military TRL
Suite 401
West Palm Beach, FL 33410-6294

Phone

(561) 776-7170

Fax

(561) 776-7171

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Physical Therapy Specialties Inc

  • Physical Therapy Clinic/Center
  • West Palm Beach, FL
  • NPI 1609157494
  NPD Authorized official
• Synergy Rehab Inc.

  • Physical Therapist
  • Jupiter, FL
  • NPI 1083892756
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1275658809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10803 WHARTON WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334121113",
            "telephone_number": "561-776-7170",
            "fax_number": "561-776-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8645 N MILITARY TRL",
            "address_2": "SUITE 401",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106294",
            "telephone_number": "561-776-7170",
            "fax_number": "561-776-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "MARY-JO",
        "name_prefix": "Mrs.",
        "credential": "M.A., P.T., A.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "95",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "2048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "884383096",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884383000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y7548",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• RSC West Palm Beach, LLC
• RSJ Plastic Surgery LLC
• Melanie Rubalcaba Nunez
• Darin Rubin, D.O.
• Jeffrey Irwin Rubin, M.D.
• Yaima Rubio Ravelo
• Ana Rubirosa
• Doren Ruchti
• Doris Ruddock
• Rudolph P Scheerer, MD

• Physical Medicine & Rehabilitation Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.