Brian Thomas Ruby, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5961 Issued in ME

Practice address

690 Minot Ave Ste 2
Auburn, ME 04210-3922

Phone

(207) 783-3450

NPI assigned

Jun 10, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Physical Therapy PLLCGroup PAC ID 9335374313, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Pacific Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Port Orchard, WA
  • NPI 1588098305
  Medicare reassignment Care Compare group NPD
• Pacific Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Silverdale, WA
  • NPI 1104568179
  NPD

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1619544236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LYDIA LN UNIT 2109",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062296",
            "telephone_number": "503-863-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 MINOT AVE STE 2",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042103922",
            "telephone_number": "207-783-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBY",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Roth
• Madison Lianne Rowe, DPT
• Brittany A Roy, PA-C
• Wendy L Roy, CADC, MHRT-C
• William Benjamin Roy
• Kalie Louise Ryan, AUD
• Catherine R Ryder, LCPC
• Ali Salehmohamed, PHARMD
• Susan Salomon
• Allison Sampson, OTR/L

• Physical Therapist in Auburn, ME
• Providers in Auburn, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.