Robbie Whitehair, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3841 Issued in NM

Practice address

Corner of Route N12 and N7
Fort Defiance Indian Hospital Board, Inc.
Fort Defiance, AZ 86504

Phone

(928) 729-8810

NPI assigned

Jun 25, 2010

Last updated

Dec 29, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Cedar Wellness LLC

  • Physical Therapist
  • Gallup, NM
  • NPI 1790650414
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1093026809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 923",
            "city": "JAMESTOWN",
            "state": "NM",
            "postal_code": "873470923",
            "telephone_number": "505-870-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF ROUTE N12 AND N7",
            "address_2": "FORT DEFIANCE INDIAN HOSPITAL BOARD, INC.",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHAIR",
        "first_name": "ROBBIE",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Scott Whelan, MD
• Barbara Ann Whiston, PT
• John William Whitaker, DO
• Chinesta White
• Kody White
• Zachary Daniel Whitehead
• Sarah Petersen Whittington, CNM
• Nicholas Henry Wilhelm, DPT
• Amanda Jean Williams
• Sarah R Williams, PT

• Physical Therapist in Fort Defiance, AZ
• Providers in Fort Defiance, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.