Daniel Theodore Rubino, MD

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

MD417839 Issued in PA

Practice address

176 E Conestoga Rd
Devon, PA 19333

Phone

(610) 688-8580

Fax

(610) 687-2246

NPI assigned

Aug 7, 2006

Last updated

Jan 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Daniel T Rubino MD PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Devon, PA
  • NPI 1144417759
  Authorized official Same address or phone

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1669481578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 E CONESTOGA RD",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "19333",
            "telephone_number": "610-688-8580",
            "fax_number": "610-687-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 E CONESTOGA RD",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "19333",
            "telephone_number": "610-688-8580",
            "fax_number": "610-687-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINO",
        "first_name": "DANIEL",
        "middle_name": "THEODORE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD417836",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD417839",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD417836",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "PA",
            "license": "MD417836",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Rivera, RN
• Nicole Renae Roberts, OTR/L
• Deanna J Rojas
• Diane Roos, PTA
• Elyse S. Rubenstein, MD
• Scott George Rushanan, OTR/L
• Andrea Ryding, RN
• Ryez Regenerative Healthspan PC
• Leila Avery Safford, MS, NCC
• Parichehr Salim Sami I, MS,RD,CDE,LDN

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Devon, PA
• Providers in Devon, PA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.