Active NPI
Robert Marvin Bischoff, PTA
- Physical Therapy Assistant
- Canon City, CO
National Provider Identifier
1497966501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PENDING
- Practice address
- 915 Industrial St
Suite B
Canon City, CO 81212-3842 - Phone
- (719) 275-1014
- NPI assigned
- May 24, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PENDING | CO | Primary |
Addresses
Primary practice location
915 Industrial St
Suite B
Canon City, CO 81212-3842
Mailing address
902 Greenwood Ave Apt 4
Canon City, CO 81212-3400
Phone (719) 429-5921
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 |
|---|---|---|---|
| PENDING | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497966501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 GREENWOOD AVE APT 4",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812123400",
"telephone_number": "719-429-5921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 INDUSTRIAL ST",
"address_2": "SUITE B",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812123842",
"telephone_number": "719-275-1014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISCHOFF",
"first_name": "ROBERT",
"middle_name": "MARVIN",
"name_prefix": "Prof.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CO",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.