Individual provider Active NPI

Robyn Lynne Redline, PT, DPT, NCS

  • Neurology Physical Therapist
  • Altoona, PA
National Provider Identifier
1750057493
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
PT019222 Issued in PA
Practice address
5930 6TH Ave Ste 1
Altoona, PA 16602-1115
Phone
(814) 312-6898
NPI assigned
Aug 23, 2021
Last updated
Aug 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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 DAPT004242 PA
Neurology Physical Therapist 2251N0400X PT019222 PA Primary

Addresses

Primary practice location

5930 6TH Ave Ste 1
Altoona, PA 16602-1115

Mailing address

1008 Walnut St
Hollidaysburg, PA 16648-2120
Phone (814) 932-1503

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220118001679 PA Practitioner - Physical Therapist in Private Practice 4981096252 Reassigns benefits to 1 organization

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
George Ferris Neurohope Center , LLCGroup PAC ID 7618300138, 5 clinicians

Practice addresses (Care Compare)

5930 6TH Ave
Altoona, PA 16602-1115
Phone (814) 515-1049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT019222PAMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
George Ferris Neurohope Center , LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

5930 6th Ave
Altoona, PA 16602
Phone (814) 312-6898

5930 6th Ave
Ste 1
Altoona, PA 16602
Phone (814) 312-6898

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, 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": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1750057493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 WALNUT ST",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166482120",
            "telephone_number": "814-932-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 6TH AVE STE 1",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021115",
            "telephone_number": "814-312-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDLINE",
        "first_name": "ROBYN",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, NCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT004242",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "PA",
            "license": "PT019222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.