Active NPI
Rubyann Pastoral Macasaet
- Physical Therapist
- Crestview, FL
National Provider Identifier
1487203188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT34647
- Practice address
- 1849 E 1St Ave
Crestview, FL 32539-3109 - Phone
- (850) 682-5322
- NPI assigned
- Sep 5, 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 | PT34647 | FL | Primary |
Addresses
Primary practice location
1849 E 1St Ave
Crestview, FL 32539-3109
Mailing address
117 Cabana Way
Crestview, FL 32536
Other names 1
- Rubyann Ogalino Pastoral
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 |
|---|---|---|---|
| PT34647 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1487203188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 CABANA WAY",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "32536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1849 E 1ST AVE",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325393109",
"telephone_number": "850-682-5322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACASAET",
"first_name": "RUBYANN",
"middle_name": "PASTORAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-05",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT34647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RUBYANN",
"last_name": "PASTORAL",
"middle_name": "OGALINO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.