NPIMap

Organization Active NPI

Scott Robbins Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Vicksburg, MS
National Provider Identifier
1598039976
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT1703 Issued in MS
Legal business name
SCOTT ROBBINS PHYSICAL THERAPY, PC
Practice address
2222 S Frontage Rd
Suite D
Vicksburg, MS 39180-5271
Phone
(601) 456-0159
Fax
(601) 863-8505
NPI assigned
Mar 1, 2012
Last updated
Jul 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Mr. Gregory Scott Robbins, PT, DPTNPI 1457623563
Title
Owner/Operator
Phone
(601) 456-0159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120307000478 MS Part B Supplier - Clinic/Group Practice 1658530837 Receives reassigned benefits from 3 practitioners
Practice locations: Vicksburg, MS

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1598039976",
    "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": {
        "organization_name": "SCOTT ROBBINS PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "601-456-0159",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MS",
            "license": "PT1703",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.