Provider Demographics
NPI:1497216097
Name:RUBENSTEIN, JASON MARC (PT, DPT)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:MARC
Last Name:RUBENSTEIN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 COLONELS DR APT 26
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-2460
Mailing Address - Country:US
Mailing Address - Phone:201-522-9793
Mailing Address - Fax:
Practice Address - Street 1:198 SPRING ST
Practice Address - Street 2:
Practice Address - City:ROCKLAND
Practice Address - State:MA
Practice Address - Zip Code:02370-2667
Practice Address - Country:US
Practice Address - Phone:781-878-6056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPTL274552251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics