Individual provider Active NPI

Ruby Mo Elashmoney, LPT

  • Physical Therapist
  • Baytown, TX
National Provider Identifier
1811664352
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1347228 Issued in TX
Practice address
5313 Decker Dr
Baytown, TX 77520-1413
Phone
(281) 838-4477
Fax
(281) 838-4477
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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 1347228 TX Primary

Addresses

Primary practice location

5313 Decker Dr
Baytown, TX 77520-1413

Mailing address

5313 Decker Dr
Baytown, TX 77520-1413
Phone (281) 838-4477

Other practice location 1

5313 Decker Dr
Baytown, TX 77520-1413
Phone (281) 838-4477

Other identifiers 1

IdentifierTypeStateIssuer
1347228OtherTXTEXAS BOARD OF PHYSICAL THERAPY EXAMINERS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231220003276 TX Practitioner - Physical Therapist in Private Practice 2668822339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2314 Pin Hook CT
Seabrook, TX 77586-3348
Phone (832) 876-8902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1347228TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Your Wellness Physical Therapy Limited Liability Company Physical Therapist CurrentSince Nov 30, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1811664352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5313 DECKER DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775201413",
            "telephone_number": "281-838-4477",
            "fax_number": "281-838-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5313 DECKER DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775201413",
            "telephone_number": "281-838-4477",
            "fax_number": "281-838-4477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5313 Decker Dr",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775201413",
            "country_code": "US",
            "telephone_number": "281-838-4477",
            "fax_number": "281-838-3465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELASHMONEY",
        "first_name": "RUBY",
        "middle_name": "MO",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1347228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "1347228",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.