NPIMap

Organization Active NPI

Prybylo Ess Physical Therapy Inc

  • Physical Therapist
  • Winston Salem, NC
National Provider Identifier
1376559047
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PRYBYLO ESS PHYSICAL THERAPY INC
Practice address
1541 Westbrook Plaza Drive
Winston Salem, NC 27103
Phone
(336) 765-4542
Fax
(336) 765-0231
NPI assigned
Aug 1, 2006
Last updated
Dec 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Mr. Robert J Ess, LPTNPI 1710063151
Title
President
Phone
(336) 765-4542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1541 Westbrook Plaza Drive
Winston Salem, NC 27103

Mailing address

1541 Westbrook Plaza Drive
Winston Salem, NC 27103
Phone (336) 765-4542

Other identifiers 5

IdentifierTypeStateIssuer
232050OtherNCMEDICARE B
250012BOtherNCMEDICARE B/ ROBERT J ESS
07798OtherNCBCBS
1710063151OtherNCNPI / ROBERT J ESS
346596OtherNCMEDICARE A

National Provider Directory

National Provider Directory

Locations

1541 Westbrook Plaza Dr
Winston Salem, NC 27103
Phone (336) 765-4542

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1376559047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 WESTBROOK PLAZA DRIVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-765-4542",
            "fax_number": "336-765-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 WESTBROOK PLAZA DRIVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-765-4542",
            "fax_number": "336-765-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRYBYLO ESS PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "ESS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-765-4542",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B",
            "identifier": "232050",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B/ ROBERT J ESS",
            "identifier": "250012B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07798",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI / ROBERT J ESS",
            "identifier": "1710063151",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE A",
            "identifier": "346596",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.