Individual provider Active NPI

Michael Emmanuel Rubino, DPT, MTC

  • Physical Therapist
  • Bonita Springs, FL
National Provider Identifier
1508824269
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 22469 Issued in FL
Practice address
25241 Elementary Way
Bonita Springs, FL 34135-7883
Phone
(786) 269-3454
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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 PT 22469 FL Primary

Addresses

Primary practice location

25241 Elementary Way
Bonita Springs, FL 34135-7883

Mailing address

1277 Rainbow CT
Naples, FL 34110-1512
Phone (786) 269-3454

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 22469FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fyzbiz, LLC Physical Therapist CurrentSince Jan 9, 2006 Accepting new patients
Pelican Sports and Rehabilitation, Inc Physical Therapist Past Accepting new patients
Pelican Sports & Rehabilitation of Naples Physical Therapist PastSince Jun 24, 2015 Accepting new patients
Rubino Physical Therapy, Inc. Past Accepting new patients

Locations

25241 Elementary Way
Bonita Springs, FL 34135
Phone (239) 947-4148

25241 Elementary Way
Ste 200
Bonita Springs, FL 34135
Phone (239) 947-4184

12250 Tamiami Trl E
Ste 102
Naples, FL 34113
Phone (239) 417-0027

18900 N Tamiami Trl
Ste A5
North Ft Myers, FL 33903
Phone (239) 451-4922

Organizations & group practices 4

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1508824269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 RAINBOW CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101512",
            "telephone_number": "786-269-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25241 ELEMENTARY WAY",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357883",
            "telephone_number": "786-269-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINO",
        "first_name": "MICHAEL",
        "middle_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "DPT, MTC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 22469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.