Active NPI
Robert John Hibner
- Physical Therapist
- Coldwater, OH
National Provider Identifier
1417319989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2412
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 05008406A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Rural Acute Care Hospital
- Coldwater, OH
- NPI 1053779686
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.