Individual provider Active NPI

Elan Rubin

  • Physical Therapist
  • Silver Spring, MD
National Provider Identifier
1558050567
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29597 Issued in MD
Practice address
2219 Bel Pre Rd
Silver Spring, MD 20906-2204
Phone
(443) 566-4255
NPI assigned
May 4, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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 29597 MD Primary

Addresses

Primary practice location

2219 Bel Pre Rd
Silver Spring, MD 20906-2204

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231110000214 MD Practitioner - Physical Therapist in Private Practice 5991152043 Reassigns benefits to 1 organization
I20231110000313 DC Practitioner - Physical Therapist in Private Practice 5991152043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Physical Therapy IncGroup PAC ID 2567750854, 7 clinicians

Practice addresses (Care Compare)

15201 Shady Grove Rd
Suite 106
Rockville, MD 20850-3217
Phone (301) 948-4395

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seneca Physical Therapy Inc Physical Therapist CurrentSince Feb 3, 2025 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Sep 27, 2023 Accepting new patients
Primary Physical Therapy, Inc. Physical Therapist CurrentSince Feb 3, 2025 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Sep 27, 2023 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

15201 Shady Grove Rd
Ste 106
Rockville, MD 20850
Phone (301) 948-4395

2219 Bel Pre Rd
Silver Spring, MD 20906
Phone (443) 566-4255

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": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1558050567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 BEL PRE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062204",
            "telephone_number": "443-566-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "ELAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-04",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.