Active NPI
Troy Alan Cribbins, PT
- Physical Therapist
- Coos Bay, OR
National Provider Identifier
1831174812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5073
- Practice address
- 410 Date Avenue
Access Rehabilitation
Coos Bay, OR 97420 - Phone
- (541) 217-5229
- NPI assigned
- Dec 13, 2005
- 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 | 5073 | OR | Primary |
Addresses
Primary practice location
410 Date Avenue
Access Rehabilitation
Coos Bay, OR 97420
Mailing address
410 Date Avenue
Access Rehabilitation
Coos Bay, OR 97420
Phone (541) 217-5229
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161133 | Other | OR | NBMC GROUP MEDICAID |
| R0000WFBTV | Other | OR | NBMC GROUP MEDICARE |
| 930635514 | Other | OR | NBMC GROUP TAX ID OR BILLING |
| 1407812365 | Other | OR | NBMC GROUP MAIN NPI |
| 1900 WOODLAND DR | Other | OR | NBMC GROUP PRACTICE ADDRESS - COOS BAY |
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 |
|---|---|---|---|
| 5073 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | 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": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1831174812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 DATE AVENUE",
"address_2": "ACCESS REHABILITATION",
"city": "COOS BAY",
"state": "OR",
"postal_code": "97420",
"telephone_number": "541-217-5229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 DATE AVENUE",
"address_2": "ACCESS REHABILITATION",
"city": "COOS BAY",
"state": "OR",
"postal_code": "97420",
"telephone_number": "541-217-5229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIBBINS",
"first_name": "TROY",
"middle_name": "ALAN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "5073",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBMC GROUP MEDICAID",
"identifier": "161133",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBMC GROUP MEDICARE",
"identifier": "R0000WFBTV",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBMC GROUP TAX ID OR BILLING",
"identifier": "930635514",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBMC GROUP MAIN NPI",
"identifier": "1407812365",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBMC GROUP PRACTICE ADDRESS - COOS BAY",
"identifier": "1900 WOODLAND DR",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.