Individual provider Active NPI

Eric Toribio

  • Physical Therapist
  • Port Arthur, TX
National Provider Identifier
1629273057
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1181390 Issued in TX
Practice address
5957 9TH Ave
Port Arthur, TX 77642-6204
Phone
(409) 982-8878
NPI assigned
Jun 16, 2007
Last updated
Jan 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2094 AR
Physical Therapist 225100000X 1181390 TX Primary

Addresses

Primary practice location

5957 9TH Ave
Port Arthur, TX 77642-6204

Mailing address

5957 9TH Ave
Port Arthur, TX 77642-6204
Phone (409) 982-8878

Other identifiers 1

IdentifierTypeStateIssuer
2038895MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090326000092 TX Practitioner - Physical Therapist in Private Practice 2264599844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triangle TherapeuticsGroup PAC ID 2466443601, 5 clinicians

Practice addresses (Care Compare)

5957 9TH Ave
Port Arthur, TX 77642-6204
Phone (409) 982-8878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2094ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Therapeutics Physical Therapist CurrentSince Aug 1, 2008 Accepting new patients
Southeast Texas Hematology and Oncology Center, PA PastSince Aug 1, 2008 Accepting new patients

Locations

2990 Laurel St
Beaumont, TX 77702
Phone (409) 861-1009

5957 9th Ave
Port Arthur, TX 77642
Phone (409) 982-5166

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, 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": "1181952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1629273057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5957 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776426204",
            "telephone_number": "409-982-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5957 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776426204",
            "telephone_number": "409-982-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORIBIO",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-16",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "2094",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1181390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2038895",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.