MEDICARE: JASON MARC RUBENSTEIN PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251P0200X	Pediatric Physical Therapist	PTL27455	MA

General Provider Information

NPI Number	:	1497216097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON MARC RUBENSTEIN PT, DPT

Provider Business Mailing Address
First Line	:	83 COLONELS DR APT 26
Second Line	:
City	:	WEYMOUTH
State	:	MA
Zip	:	02189-2460
Country	:	US
Telephone Number	:	201-522-9793
Fax Number	:

Provider Business Practice Location Address
First Line	:	198 SPRING ST
Second Line	:
City	:	ROCKLAND
State	:	MA
Zip	:	02370-2667
Country	:	US
Telephone Number	:	781-878-6056
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2019
Last Update Date	:	09/30/2024

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