Individual provider Active NPI

John David Robison, P.T.

  • Physical Therapist
  • Tuscaloosa, AL
National Provider Identifier
1033311543
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1-0508 Issued in AL
Practice address
400 Bryant Drive E
Tuscaloosa, AL 35401-2009
Phone
(205) 345-0192
Fax
(205) 247-2194
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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 1-0508 AL Primary

Addresses

Primary practice location

400 Bryant Drive E
Tuscaloosa, AL 35401-2009

Mailing address

PO Box 2447
Tuscaloosa, AL 35403-2447
Phone (205) 345-0192

Other identifiers 2

IdentifierTypeStateIssuer
051006099OtherALBLUE CROSS BLUE SHIELD
890022770MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070907000729 AL Practitioner - Physical Therapist in Private Practice 4284727140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Orthopaedic Clinic P CGroup PAC ID 9830091859, 22 clinicians

Practice addresses (Care Compare)

400 Paul Bryant Dr E
Tuscaloosa, AL 35401-2009
Phone (205) 345-0192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-0508ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopaedic Clinic, PC Physical Therapist CurrentSince Jul 2, 2007 Accepting new patients
University Orthopaedic Clinic, PC Past Accepting new patients
The Radiology Clinic LLC PastSince Jul 2, 2007 Accepting new patients

Locations

305 Paul W Bryant Dr E
Tuscaloosa, AL 35401

400 Paul W Bryant Dr E
Tuscaloosa, AL 35401
Phone (205) 345-2627

Organizations & group practices 3

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1033311543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2447",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354032447",
            "telephone_number": "205-345-0192",
            "fax_number": "205-247-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BRYANT DRIVE E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012009",
            "telephone_number": "205-345-0192",
            "fax_number": "205-247-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "1-0508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051006099",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890022770",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.