Individual provider Active NPI

Robert Charles Beba, PT

  • Physical Therapist
  • Virginia Beach, VA
National Provider Identifier
1225011935
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305005691 Issued in VA
Practice address
1788 Republic Rd
Suite 100
Virginia Beach, VA 23454-4552
Phone
(757) 437-0412
Fax
(757) 437-4582
NPI assigned
Nov 28, 2005
Last updated
Oct 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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 2305005691 VA Primary

Addresses

Primary practice location

1788 Republic Rd
Suite 100
Virginia Beach, VA 23454-4552

Mailing address

PO Box 5982
Virginia Beach, VA 23471-0982
Phone (757) 437-0412

Other identifiers 6

IdentifierTypeStateIssuer
008938725MedicaidVA
010380456MedicaidVA
010380618MedicaidVA
010380359MedicaidVA
010380669MedicaidVA
010380693MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101109001463 VA Practitioner - Physical Therapist in Private Practice 0547455107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Therapy Network IncGroup PAC ID 3072562933, 12 clinicians

Practice addresses (Care Compare)

1788 Republic Rd
Suite 100
Virginia Beach, VA 23454-4552
Phone (757) 437-0412

Merit-based Incentive Payment System (MIPS)

Final score
72.99 of 100Reported as group
Quality
66.22
Improvement activities
40
Cost
55.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305005691VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Therapy Network Inc Physical Therapist CurrentSince Jan 1, 1999 Accepting new patients
Center for Work Recovery Physical Therapist Past Accepting new patients

Locations

637 Kingsborough Sq
Ste F
Chesapeake, VA 23320
Phone (757) 547-7554

1450 Kempsville Rd
Ste 102
Virginia Beach, VA 23464
Phone (757) 455-8300

1788 Republic Rd
Ste 100
Virginia Beach, VA 23454
Phone (757) 432-0412

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1225011935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5982",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234710982",
            "telephone_number": "757-437-0412",
            "fax_number": "757-437-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 REPUBLIC RD",
            "address_2": "SUITE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544552",
            "telephone_number": "757-437-0412",
            "fax_number": "757-437-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEBA",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008938725",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010380456",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010380618",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010380359",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010380669",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010380693",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.