Individual provider Active NPI

Robert George Kinsman, PT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1265989693
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025434 Issued in PA
Practice address
11808 Grant St
Omaha, NE 68164-3613
Phone
(877) 230-3885
NPI assigned
Sep 1, 2016
Last updated
Sep 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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 025434 PA Primary

Addresses

Primary practice location

11808 Grant St
Omaha, NE 68164-3613

Mailing address

11808 Grant St
Omaha, NE 68164-3613
Phone (877) 230-3885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250409000866 PA Practitioner - Physical Therapist in Private Practice 4183148349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Physical Therapy and Wellness IncGroup PAC ID 8224304712, 8 clinicians

Practice addresses (Care Compare)

232 Sunrise Ave
Honesdale, PA 18431-1085
Phone (570) 251-8003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025434PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Physical Therapy & Wellness Inc Physical Therapist CurrentSince May 5, 2025 Accepting new patients

Locations

16 Maybrook Rd
Ste G
Campbell Hall, NY 10916

232 Sunrise Ave
Honesdale, PA 18431
Phone (570) 251-8003

518 Route 6 and 209
Milford, PA 18337
Phone (570) 296-3333

Organizations & group practices 1

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1265989693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11808 GRANT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643613",
            "telephone_number": "877-230-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11808 GRANT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643613",
            "telephone_number": "877-230-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSMAN",
        "first_name": "ROBERT",
        "middle_name": "GEORGE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "025434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.