Active NPI
Robbin B Wickhambruno, PT
- Physical Therapist
- Avon, IN
National Provider Identifier
1386883874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05006715A
- Practice address
- 7388 Business Center Dr
Avon, IN 46123-6973 - Phone
- (317) 272-0480
- NPI assigned
- Feb 7, 2009
- Sex
- Female
- 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 Therapist | 225100000X | 05006715A | IN | Primary |
Addresses
Primary practice location
7388 Business Center Dr
Avon, IN 46123-6973
Mailing address
7388 Business Center Dr
Avon, IN 46123-6973
Phone (317) 272-0480
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 |
|---|---|---|---|
| 05006715A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233964800000",
"number": "1386883874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7388 BUSINESS CENTER DR",
"city": "AVON",
"state": "IN",
"postal_code": "461236973",
"telephone_number": "317-272-0480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7388 BUSINESS CENTER DR",
"city": "AVON",
"state": "IN",
"postal_code": "461236973",
"telephone_number": "317-272-0480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKHAMBRUNO",
"first_name": "ROBBIN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-07",
"last_updated": "2009-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05006715A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.