Active NPI
Brian William Robles, P.T.A.
- Physical Therapy Assistant
- Tucson, AZ
National Provider Identifier
1295042356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 8410A
- Practice address
- 888 S Craycroft Rd
Suite 140
Tucson, AZ 85711-7118 - Phone
- (520) 747-5557
- Fax
- (520) 747-1633
- NPI assigned
- Sep 9, 2010
- Sex
- Male
- 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 | 8410A | AZ | Primary |
Addresses
Primary practice location
888 S Craycroft Rd
Suite 140
Tucson, AZ 85711-7118
Mailing address
5501 N Oracle Rd
Suite 101
Tucson, AZ 85704-3829
Phone (520) 747-9225
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 |
|---|---|---|---|
| 8410A | AZ | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283990400000",
"number": "1295042356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 N ORACLE RD",
"address_2": "SUITE 101",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857043829",
"telephone_number": "520-747-9225",
"fax_number": "520-747-1633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 S CRAYCROFT RD",
"address_2": "SUITE 140",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857117118",
"telephone_number": "520-747-5557",
"fax_number": "520-747-1633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBLES",
"first_name": "BRIAN",
"middle_name": "WILLIAM",
"credential": "P.T.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-09",
"last_updated": "2010-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AZ",
"license": "8410A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.