Individual provider Active NPI

Brian C Bibbee

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1215088604
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0003176 Issued in FL
Practice address
861 SW 21St St
Boca Raton, FL 33486-6942
Phone
(954) 612-3211
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT0003176 FL Primary

Addresses

Primary practice location

861 SW 21St St
Boca Raton, FL 33486-6942

Mailing address

861 SW 21St St
Boca Raton, FL 33486-6942
Phone (954) 612-3211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041216000983 FL Practitioner - Physical Therapist in Private Practice 1850358219 Reassigns benefits to 1 organization
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0003176FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
In Home Rehab of Florida PLLC Physical Therapist CurrentSince Jul 15, 2022 Accepting new patients
Restorability Physical Therapist CurrentSince Dec 31, 2018 Accepting new patients
United Outreach Inc Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215088604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 SW 21ST ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334866942",
            "telephone_number": "954-612-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 SW 21ST ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334866942",
            "telephone_number": "954-612-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBBEE",
        "first_name": "BRIAN",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0003176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.