Individual provider Active NPI

Robert John Hibner

  • Physical Therapist
  • Coldwater, OH
National Provider Identifier
1417319989
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2412 Issued in OH
Practice address
4390 Buschor Rd
Coldwater, OH 45828-9705
Phone
(419) 305-3031
Fax
(419) 678-4200
NPI assigned
Mar 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2412 OH Primary
Physical Therapist 225100000X 05008406A IN

Addresses

Primary practice location

4390 Buschor Rd
Coldwater, OH 45828-9705

Mailing address

4390 Buschor Road
Coldwater, OH 45828
Phone (419) 305-3031

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

LicenseStateTypeSpecialty
05008406AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitative Services Inc. Past Accepting new patients

Organizations & group practices 1

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1417319989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4390 BUSCHOR ROAD",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "45828",
            "telephone_number": "419-305-3031",
            "fax_number": "419-678-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 BUSCHOR RD",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458289705",
            "telephone_number": "419-305-3031",
            "fax_number": "419-678-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBNER",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "2412",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008406A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.