Active NPI
Rita Sue Robinson, PT
- Physical Therapist
- Traverse City, MI
National Provider Identifier
1093217465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501002254
- Practice address
- 1969 Boardman Plains Rd E
Traverse City, MI 49696-8252 - Phone
- (231) 590-1374
- NPI assigned
- Mar 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501002254 | MI | Primary |
Addresses
Primary practice location
1969 Boardman Plains Rd E
Traverse City, MI 49696-8252
Mailing address
1969 Boardman Plains Rd E
Traverse City, MI 49696-8252
Phone (231) 499-1011
Other practice location 1
550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-6520
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501002254 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1093217465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1969 BOARDMAN PLAINS RD E",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496968252",
"telephone_number": "231-499-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1969 BOARDMAN PLAINS RD E",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496968252",
"telephone_number": "231-590-1374"
}
],
"practiceLocations": [
{
"address_1": "550 Munson Ave",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496863580",
"country_code": "US",
"telephone_number": "231-935-6520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBINSON",
"first_name": "RITA",
"middle_name": "SUE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501002254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.