Individual provider Active NPI

Robert E Gribbin

  • Physical Therapist
  • Babylon, NY
National Provider Identifier
1477880771
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027317 Issued in NY
Practice address
400 W Main Street
Suite 340
Babylon, NY 11702
Phone
(631) 661-3180
Fax
(631) 661-3183
NPI assigned
Nov 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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 027317 NY Primary

Addresses

Primary practice location

400 W Main Street
Suite 340
Babylon, NY 11702

Mailing address

400 W Main St
Suite 340
Babylon, NY 11702-3012
Phone (631) 661-3180

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
027317NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Goodman Physical Therapy PC Physical Therapist CurrentSince Jan 1, 2014 Accepting new patients
South Shore Medical Care, PC CurrentSince Jul 1, 2018 Accepting new patients

Locations

400 W Main St
Ste 340
Babylon, NY 11702
Phone (631) 403-4719

16 Van Cott Rd
Ste 2E
Deer Park, NY 11729
Phone (631) 274-0777

255 Higbie Ln
West Islip, NY 11795
Phone (631) 661-3180

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1477880771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST",
            "address_2": "SUITE 340",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023012",
            "telephone_number": "631-661-3180",
            "fax_number": "631-661-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN STREET",
            "address_2": "SUITE 340",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "11702",
            "telephone_number": "631-661-3180",
            "fax_number": "631-661-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIBBIN",
        "first_name": "ROBERT",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-06",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.