Individual provider Active NPI

Ryan Michael Ruben, PT, MS, DPT

  • Physical Therapist
  • Ripley, WV
National Provider Identifier
1609297829
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT003161 Issued in WV
Practice address
344B Church St S
Ripley, WV 25271-1512
Phone
(304) 373-0093
Fax
(304) 372-5764
NPI assigned
Dec 16, 2013
Last updated
May 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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 PT003161 WV Primary

Addresses

Primary practice location

344B Church St S
Ripley, WV 25271-1512

Mailing address

415 36TH St
Suite 100
Parkersburg, WV 26101-1005
Phone (304) 917-3660

Other identifiers 2

IdentifierTypeStateIssuer
3810028726MedicaidWV
0139686MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140224001078 WV Practitioner - Physical Therapist in Private Practice 9537399381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
West Virginia University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

420 Charleston Dr
Suite a
Ripley, WV 25271-1714
Phone (304) 373-0093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT003161WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain River Physical Therapy LLC CurrentSince Nov 1, 2013 Accepting new patients
Mountain River Physical Therapy Specialists LLC Physical Therapist CurrentSince Nov 16, 2020 Accepting new patients
Mountain River Physical Therapy LLC Physical Therapist Current Accepting new patients
Mountain River Physical Therapy Specialists LLC Physical Therapist CurrentSince Nov 16, 2020 Accepting new patients
Mountain River Physical Therapy, LLC CurrentSince Nov 1, 2013 Accepting new patients

Locations

1720 SE 16th Ave
Ste 302
Ocala, FL 34471
Phone (352) 512-0825

1212 Garfield Ave
Ste 200
Parkersburg, WV 26101
Phone (304) 865-2778

415 36th St
Parkersburg, WV 26101
Phone (304) 295-0890

415 36th St
Ste 100
Parkersburg, WV 26101
Phone (304) 917-3660

344B Church St S
Ripley, WV 25271
Phone (304) 372-7479

420 Charleston Dr
Ste A
Ripley, WV 25271
Phone (304) 373-0093

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1609297829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 36TH ST",
            "address_2": "SUITE 100",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261011005",
            "telephone_number": "304-917-3660",
            "fax_number": "304-917-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344B CHURCH ST S",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252711512",
            "telephone_number": "304-373-0093",
            "fax_number": "304-372-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBEN",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "credential": "PT, MS, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-16",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT003161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810028726",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139686",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.