Robert James Robine Jr., MAT, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601002580 Issued in MI

Practice address

8405 Hettenberger Ave
Warren, MI 48093-4968

Phone

(586) 755-6102

NPI assigned

Oct 7, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1225679608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 HETTENBERGER AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934968",
            "telephone_number": "586-755-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 HETTENBERGER AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934968",
            "telephone_number": "586-755-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINE",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "MAT, AT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-07",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601002580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Jane Roberts, DO
• Charles E Robertson, CRNA
• Kyle David Robertson, D.O.
• Larea Robertson
• Verdis Robertson
• Diana Lynn Robins, RNC MSN NP
• Anne Michael Robinson, LLMSW
• Dominique Robinson
• Eva Robinson
• Tanisha Robinson

• Athletic Trainer in Warren, MI
• Providers in Warren, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.