Active NPI
Robin K Black, RPT REGISTERED PHYSI
- Physical Therapist
- Yuba City, CA
National Provider Identifier
1679758338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT9534
- Practice address
- 1585 Butte House Rd
Yuba City, CA 95993-2200 - Phone
- (530) 751-9340
- Fax
- (530) 673-0151
- NPI assigned
- Dec 31, 2007
- Sex
- Female
- 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 Therapist | 225100000X | PT9534 | CA | Primary |
Addresses
Primary practice location
1585 Butte House Rd
Yuba City, CA 95993-2200
Mailing address
45 Holt Lane
Chico, CA 95926
Phone (530) 343-3822
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT9534 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Spinal Rehabilitation, Inc. | Past | Accepting new patients | |
| Advanced Spinal Rehabilitation, Inc. | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Lincoln, CA
- NPI 1164711339
-
- Physical Therapy Clinic/Center
- Yuba City, CA
- NPI 1306073820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332806400000",
"number": "1679758338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 HOLT LANE",
"city": "CHICO",
"state": "CA",
"postal_code": "95926",
"telephone_number": "530-343-3822",
"fax_number": "530-892-2624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1585 BUTTE HOUSE RD",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959932200",
"telephone_number": "530-751-9340",
"fax_number": "530-673-0151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "ROBIN",
"middle_name": "K",
"credential": "RPT REGISTERED PHYSI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-31",
"last_updated": "2012-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT9534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuba City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.