Active NPI
Robbie Brandon Addison, D.P.T
- Physical Therapist
- Eufaula, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH6169
- Practice address
- 825 W Washington St
Eufaula, AL 36027-1847 - Phone
- (334) 688-7155
- Fax
- (334) 616-7615
- NPI assigned
- Jul 7, 2011
- Last updated
- Apr 24, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH6169 | AL | Primary |
| Athletic Trainer | 2255A2300X | 915 | AL |
Addresses
Primary practice location
825 W Washington St
Eufaula, AL 36027-1847
Mailing address
251 Johnston St SE Ste 200
Decatur, AL 35601-2515
Phone (256) 350-1764
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 511-60916 | Other | AL | BCBS OF AL |
| 12735267 | Other | AL | CAQH |
| 511-19134 | Other | AL | BCBS OF AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
825 W Washington St
Suite 8
Eufaula, AL 36027-1851
Phone (334) 355-6009
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 915 | AL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encore Rehabilitation, Inc | Physical Therapist | Current | Accepting new patients |
| Encore Rehabilitation, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708
825 W Washington St
Ste 8
Eufaula, AL 36027
Phone (334) 355-6009
3051 Frederick Rd
Ste 4
Opelika, AL 36801
Phone (334) 329-6508
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Decatur, AL
- NPI 1003819608
Physical Therapist
-
dba Encore Coast Hand Therapy
- Occupational Medicine Clinic/Center
- Gulfport, MS
- NPI 1437962313
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1386931673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 JOHNSTON ST SE STE 200",
"city": "DECATUR",
"state": "AL",
"postal_code": "356012515",
"telephone_number": "256-350-1764",
"fax_number": "334-396-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 W WASHINGTON ST",
"city": "EUFAULA",
"state": "AL",
"postal_code": "360271847",
"telephone_number": "334-688-7155",
"fax_number": "334-616-7615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDISON",
"first_name": "ROBBIE",
"middle_name": "BRANDON",
"name_prefix": "Mr.",
"credential": "D.P.T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-07",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH6169",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "915",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "511-60916",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12735267",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "511-19134",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eufaula, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.