Idylla Realubit, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PTH7283 Issued in AL

Practice address

4949 Natalie Way
Trussville, AL 35173-1199

Phone

(828) 773-2105

NPI assigned

May 11, 2021

Last updated

May 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rehab RX LLC

  • Physical Therapy Clinic/Center
  • Trussville, AL
  • NPI 1407430903
  NPD Authorized official

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1871177378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 NATALIE WAY",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731199",
            "telephone_number": "828-773-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 NATALIE WAY",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731199",
            "telephone_number": "828-773-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REALUBIT",
        "first_name": "IDYLLA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "AL",
            "license": "PTH7283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rehabrxllc@outlook.com",
            "affiliation": "N",
            "endpointDescription": "rehabrxllc@outlook.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4949 Natalie Way",
            "city": "Trussville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "351731199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Publix Alabama LLC (Publix Pharmacy #1082)
• Quest for Health Chiropractic
• Radius PT of Alabama LLC
• Jameson Kenerly Ragsdale
• Brittney Otruba Randolph, PHD
• Angela Helms Redmond, MD
• Aisha Reese, M.S., OTR/L
• Rehab RX LLC
• Renal Treatment Centers-Southeast, LP. (Springs Dialysis)
• Renfroe Homecare, LLC (Visiting Angels)

• Geriatric Physical Therapist in Trussville, AL
• Providers in Trussville, AL by specialty
• Geriatric Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.