Active NPI
Robert Blumberg, PT
- Physical Therapist
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.016319
- Practice address
- 144 Lincoln Place CT
Suite 1
Belleville, IL 62221-5878 - Phone
- (618) 233-5163
- Fax
- (618) 233-5164
- NPI assigned
- Apr 1, 2008
- Sex
- Male
- 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 | 070.016319 | IL | Primary |
Addresses
Primary practice location
144 Lincoln Place CT
Suite 1
Belleville, IL 62221-5878
Mailing address
15 Apex Dr
Highland, IL 62249-1282
Phone (618) 651-0444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 Grand Ave
Beardstown, IL 62618-8092
Phone (217) 350-0361
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.03 of 100
- Quality
- 74.47
- Improvement activities
- 40
- Cost
- 66.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.016319 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Apex Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Apex Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
1350 Grand Ave
Beardstown, IL 62618
Phone (217) 350-0361
144 Lincoln Place Ct
Ste 1
Belleville, IL 62221
Phone (618) 233-5163
251 Marketplace Dr
#2
Freeburg, IL 62243
Phone (618) 539-5900
15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482
Organizations & group practices 3
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
- Centerton, AR
- NPI 1710732607
Physical Therapist
-
- Physical Therapist
- Freeburg, IL
- NPI 1225351703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1740452663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 APEX DR",
"city": "HIGHLAND",
"state": "IL",
"postal_code": "622491282",
"telephone_number": "618-651-0444",
"fax_number": "618-654-5439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 LINCOLN PLACE CT",
"address_2": "SUITE 1",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622215878",
"telephone_number": "618-233-5163",
"fax_number": "618-233-5164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUMBERG",
"first_name": "ROBERT",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-01",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.016319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.