Active NPI
Ruth N Aubrey, PT
- Specialist
- Daphne, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PTH847
- Practice address
- 6475 Van Buren St
Ste 102
Daphne, AL 36526-7571 - Phone
- (251) 626-9052
- Fax
- (251) 626-5384
- NPI assigned
- Jun 9, 2005
- Last updated
- Aug 17, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PTH847 | AL | Primary |
Addresses
Primary practice location
6475 Van Buren St
Ste 102
Daphne, AL 36526-7571
Mailing address
6475 Van Buren St
Ste 102
Daphne, AL 36526-7571
Phone (251) 626-9052
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18371 | Other | AL | HEALTHSPRING ID |
| 509115 | Other | AL | AETNA I.D. |
| 130287 | Medicaid | AL | |
| 130288 | Medicaid | AL | |
| 51072218 | Other | AL | BLUE CROSS |
| 630997518 | Other | AL | COMMERCIAL ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6475 Van Buren St
Suite 102
Daphne, AL 36526-7571
Phone (251) 626-9052
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Shore Physical Therapy, Inc | Current | Accepting new patients |
Locations
618 McMeans Ave
Bay Minette, AL 36507
Phone (251) 580-2770
6475 Van Buren St
Ste 102
Daphne, AL 36526
Phone (205) 626-9052
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Daphne, AL
- NPI 1700831666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313539200000",
"number": "1700880473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6475 VAN BUREN ST",
"address_2": "STE 102",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365267571",
"telephone_number": "251-626-9052",
"fax_number": "251-626-5384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6475 VAN BUREN ST",
"address_2": "STE 102",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365267571",
"telephone_number": "251-626-9052",
"fax_number": "251-626-5384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUBREY",
"first_name": "RUTH",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-09",
"last_updated": "2011-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "PTH847",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSPRING ID",
"identifier": "18371",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA I.D.",
"identifier": "509115",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130287",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130288",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51072218",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL ID",
"identifier": "630997518",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.