Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Etta B Rubin, DPT

Individual provider Physical Therapist · NPI 1396401428

Etta B Rubin, DPT is registered under Physical Therapist in Private Practice in New York, New York. Qualified in 2021, 5 years ago. Practices with Sports Physical Therapy Occupational Therapy and Rehabilitation Servic, a 529-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

225 Broadway Ste 2120
New York, NY 10007-3702
Phone: (347) 943-3065
Fax: (917) 688-2314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 047779 (NY)

Record details

NPI number1396401428
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedNovember 12, 2021
Last updated in NPPESNovember 12, 2021
Certification dateNovember 12, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sports Physical Therapy Occupational Therapy And Rehabilitation Servic — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Colleagues at Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 529 clinicians in the practice; 12 are shown here.

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