Individual provider Active NPI

Todd R Erbst, PT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1043328040
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7178 Issued in NC
Practice address
2533 Atlantic Ave Ste 100
Raleigh, NC 27604-1568
Phone
(919) 612-1673
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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 7178 NC Primary

Addresses

Primary practice location

2533 Atlantic Ave Ste 100
Raleigh, NC 27604-1568

Mailing address

8813 Sleepy Creek Dr
Raleigh, NC 27613-1322
Phone (919) 612-1673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erbst Orthosport Physical Therapy, LLC Physical Therapist CurrentSince Oct 11, 2020 Accepting new patients
CMPT Associates Physical Therapist Past Accepting new patients

Locations

2533 Atlantic Ave
Ste 100
Raleigh, NC 27604
Phone (919) 612-1673

Organizations & group practices 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1043328040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8813 SLEEPY CREEK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131322",
            "telephone_number": "919-612-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 ATLANTIC AVE STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041568",
            "telephone_number": "919-612-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERBST",
        "first_name": "TODD",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "7178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.