Individual provider Active NPI

Gregory Scott Robbins, PT, DPT

  • Physical Therapist
  • Vicksburg, MS
National Provider Identifier
1457623563
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1703 Issued in MS
Practice address
2222 S Frontage Rd
Suite D
Vicksburg, MS 39180-5271
Phone
(601) 456-0159
Fax
(601) 863-8505
NPI assigned
Feb 4, 2012
Last updated
Oct 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT1703 MS Primary

Addresses

Primary practice location

2222 S Frontage Rd
Suite D
Vicksburg, MS 39180-5271

Mailing address

2222 S Frontage Rd
Suite D
Vicksburg, MS 39180-5271
Phone (601) 456-0159

Other identifiers 1

IdentifierTypeStateIssuer
PTAN 302G702839OtherMSMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120709000133 MS Practitioner - Physical Therapist in Private Practice 2567621741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Mississippi School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott Robbins Physical Therapy, PCGroup PAC ID 1658530837, 3 clinicians

Practice addresses (Care Compare)

2222 S Frontage Rd D
Vicksburg, MS 39180-5271
Phone (601) 456-0159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Robbins Physical Therapy, PC CurrentSince Feb 11, 2012 Accepting new patients

Locations

2222 S Frontage Rd
Ste D
Vicksburg, MS 39180
Phone (601) 456-0159

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1328313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1457623563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S FRONTAGE RD",
            "address_2": "SUITE D",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805271",
            "telephone_number": "601-456-0159",
            "fax_number": "601-863-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S FRONTAGE RD",
            "address_2": "SUITE D",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805271",
            "telephone_number": "601-456-0159",
            "fax_number": "601-863-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "GREGORY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-04",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT1703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PTAN 302G702839",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.

Verify at the official NPI Registry.