Active NPI
Robert Franklin Dubose I, RPT
- Physical Therapist
- Hayneville, AL
National Provider Identifier
1740358043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH 572
- Practice address
- 154 Hillburne Dr
Hayneville, AL 36040-2737 - Phone
- (334) 548-2832
- Fax
- (334) 382-1079
- NPI assigned
- Dec 4, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH 572 | AL | Primary |
Addresses
Primary practice location
154 Hillburne Dr
Hayneville, AL 36040-2737
Mailing address
154 Hillburne Dr
Hayneville, AL 36040-2737
Phone (334) 548-2832
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 |
|---|---|---|---|
| PTH 572 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innerfit West, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740358043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 HILLBURNE DR",
"city": "HAYNEVILLE",
"state": "AL",
"postal_code": "360402737",
"telephone_number": "334-548-2832",
"fax_number": "334-382-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 HILLBURNE DR",
"city": "HAYNEVILLE",
"state": "AL",
"postal_code": "360402737",
"telephone_number": "334-548-2832",
"fax_number": "334-382-1079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOSE",
"first_name": "ROBERT",
"middle_name": "FRANKLIN",
"name_prefix": "Mr.",
"name_suffix": "I",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH 572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayneville, AL
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.