Active NPI
Nikki Bibbs, PTA
- Physical Therapy Assistant
- Springfield, OH
National Provider Identifier
1124250097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 06086
- Practice address
- 1600 Saint Paris Pike
Springfield, OH 45504-1226 - Phone
- (937) 399-8131
- Fax
- (937) 398-0606
- NPI assigned
- Aug 11, 2009
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | 06086 | OH | Primary |
Addresses
Primary practice location
1600 Saint Paris Pike
Springfield, OH 45504-1226
Mailing address
4845 Cullen Ave
Springfield, OH 45503-5803
Phone (937) 342-8996
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 |
|---|---|---|---|
| 06086 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384732800000",
"number": "1124250097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4845 CULLEN AVE",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455035803",
"telephone_number": "937-342-8996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SAINT PARIS PIKE",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455041226",
"telephone_number": "937-399-8131",
"fax_number": "937-398-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIBBS",
"first_name": "NIKKI",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-11",
"last_updated": "2013-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "06086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.