Active NPI
Robert Lombardi, BS
- Recreation Therapist
- Sutherlin, OR
National Provider Identifier
1730762469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 80281
- Practice address
- 1968 Ridge Water Dr
Sutherlin, OR 97479-9735 - Phone
- (530) 566-7543
- NPI assigned
- Apr 30, 2021
- Last updated
- Apr 30, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 80281 | CA | Primary |
Addresses
Primary practice location
1968 Ridge Water Dr
Sutherlin, OR 97479-9735
Mailing address
1968 Ridge Water Dr
Sutherlin, OR 97479-9735
Phone (530) 566-7543
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80281 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1730762469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1968 RIDGE WATER DR",
"city": "SUTHERLIN",
"state": "OR",
"postal_code": "974799735",
"telephone_number": "530-566-7543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1968 RIDGE WATER DR",
"city": "SUTHERLIN",
"state": "OR",
"postal_code": "974799735",
"telephone_number": "530-566-7543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOMBARDI",
"first_name": "ROBERT",
"credential": "BS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-30",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "CA",
"license": "80281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sutherlin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.