Individual provider Active NPI

Ruby Gabriela Graterol Maldonado

  • Physical Therapist
  • Monroe, OH
National Provider Identifier
1649932930
Registry record updated Oct 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019374 Issued in OH
Practice address
286 N Main St
Monroe, OH 45050-1236
Phone
(513) 539-3488
NPI assigned
Oct 13, 2021
Last updated
Oct 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2021

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 PT019374 OH Primary

Addresses

Primary practice location

286 N Main St
Monroe, OH 45050-1236

Mailing address

2980 Southfork Dr
Mason, OH 45036-7267
Phone (513) 293-8901

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211119001045 OH Practitioner - Physical Therapist in Private Practice 7416346051 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT019374OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Therapeutic Services, Inc. Physical Therapist CurrentSince Oct 11, 2021 Accepting new patients
Professional Therapeutic Services Inc CurrentSince Oct 11, 2021 Accepting new patients
Rehabclinics SPT Inc Physical Therapist Current Accepting new patients
Keystone Rehabilitation Systems Inc Physical Therapist CurrentSince Oct 11, 2021 Accepting new patients
JK Wellness Centers Inc Physical Therapist CurrentSince Sep 12, 2022 Accepting new patients
Keystone Rehabilitation Systems, Inc. CurrentSince Oct 11, 2021 Accepting new patients
Physiotherapy Associates, Inc Physical Therapist CurrentSince Oct 11, 2021 Accepting new patients
Physiotherapy Associates Inc CurrentSince Oct 11, 2021 Accepting new patients
Rehabclinics SPT Inc CurrentSince Mar 10, 2022 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Mar 10, 2022 Accepting new patients
Physiotherapy Associates Inc Physical Therapist Current Accepting new patients

Locations

2655 Commons Blvd
Ste 120
Beavercreek, OH 45431
Phone (937) 320-9131

9596 Colerain Ave
Cincinnati, OH 45251
Phone (513) 661-3114

1498 N Broadway St
Greenville, OH 45331
Phone (937) 548-2317

8412 Old Troy Pike
Huber Heights, OH 45424
Phone (937) 235-0068

784 Loveland Miamiville Rd
Ste 600
Loveland, OH 45140
Phone (513) 774-3600

286 N Main St
Monroe, OH 45050
Phone (513) 539-3488

125 Bridge St
Ste 100
Piqua, OH 45356
Phone (937) 615-2120

1303 W 1st St
Springfield, OH 45504
Phone (847) 485-3481

7109 Hamilton Mason Rd
Ste A
West Chester, OH 45069
Phone (513) 759-6494

Organizations & group practices 11

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": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634342400000",
    "number": "1649932930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 SOUTHFORK DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450367267",
            "telephone_number": "513-293-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 N MAIN ST",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450501236",
            "telephone_number": "513-539-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRATEROL MALDONADO",
        "first_name": "RUBY",
        "middle_name": "GABRIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.