Active NPI
Craig Phillip Gobich
- Kinesiotherapist
- Murfreesboro, TN
National Provider Identifier
1093954364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Kinesiotherapist
- License
- 1433
- Practice address
- 3400 Lebanon Rd
Murfreesboro, TN 37129-1237 - Phone
- (615) 225-4612
- NPI assigned
- Feb 10, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Kinesiotherapist | 226300000X | 1433 | IL | Primary |
Addresses
Primary practice location
3400 Lebanon Rd
Murfreesboro, TN 37129-1237
Mailing address
271 Sugar Mill Dr
Bowling Green, KY 42104-7462
Phone (270) 781-5848
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 |
|---|---|---|---|
| 1433 | IL | MD | Kinesiotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234224000000",
"number": "1093954364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 SUGAR MILL DR",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421047462",
"telephone_number": "270-781-5848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 LEBANON RD",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371291237",
"telephone_number": "615-225-4612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOBICH",
"first_name": "CRAIG",
"middle_name": "PHILLIP",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-10",
"last_updated": "2009-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": "IL",
"license": "1433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.