Individual provider Active NPI

Jason Robinet, P.T.

  • Physical Therapist
  • Rockford, MI
National Provider Identifier
1326145657
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010395 Issued in MI
Practice address
11561 Edgerton Ave NE
Rockford, MI 49341-9150
Phone
(616) 866-2727
Fax
(616) 866-2729
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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 5501010395 MI Primary

Addresses

Primary practice location

11561 Edgerton Ave NE
Rockford, MI 49341-9150

Mailing address

11561 Edgerton Ave NE
Rockford, MI 49341-9150
Phone (616) 866-2727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040910001245 MI Practitioner - Physical Therapist in Private Practice 9133196074 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc CurrentSince Jun 1, 2022 Accepting new patients
Physiotherapy Associates Inc CurrentSince Jun 1, 2022 Accepting new patients
Physiotherapy Associates, Inc. Physical Therapist Current Accepting new patients
Health Motion Physical Therapy Services Inc Physical Therapist PastSince Jan 27, 2014 Accepting new patients

Locations

11561 Edgerton Ave NE
Rockford, MI 49341
Phone (616) 866-2727

7180 Highland Rd
Waterford, MI 48327
Phone (248) 666-4020

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1326145657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11561 EDGERTON AVE NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493419150",
            "telephone_number": "616-866-2727",
            "fax_number": "616-866-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11561 EDGERTON AVE NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493419150",
            "telephone_number": "616-866-2727",
            "fax_number": "616-866-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINET",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.