Active NPI
Paul Babcock
- Physical Therapist
- Grosse Pointe Woods, MI
National Provider Identifier
1295995496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070012193
- Practice address
- 900 Cook Rd
Grosse Pointe Woods, MI 48236-2739 - Phone
- (313) 821-7095
- NPI assigned
- Jun 11, 2008
- Last updated
- Mar 29, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 Therapist | 225100000X | 070012193 | IL | Primary |
Addresses
Primary practice location
900 Cook Rd
Grosse Pointe Woods, MI 48236-2739
Mailing address
80 Moross Rd
Grosse Pointe Farms, MI 48236-3060
Other practice location 1
1950 W North Ave
Suite 303
Chicago, IL 60622-1318
Phone (773) 235-6700
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 |
|---|---|---|---|
| 070012193 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1295995496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 MOROSS RD",
"city": "GROSSE POINTE FARMS",
"state": "MI",
"postal_code": "482363060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 COOK RD",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482362739",
"telephone_number": "313-821-7095"
}
],
"practiceLocations": [
{
"address_1": "1950 W North Ave",
"address_2": "Suite 303",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606221318",
"country_code": "US",
"telephone_number": "773-235-6700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BABCOCK",
"first_name": "PAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-11",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070012193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grosse Pointe Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.