Individual provider Active NPI

Robert Robinson, PT

  • Physical Therapist
  • New Bern, NC
National Provider Identifier
1861688582
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6372 Issued in NC
Practice address
2111 Neuse Blvd # K
New Bern, NC 28560-4317
Phone
(252) 637-5001
Fax
(252) 637-5007
NPI assigned
Sep 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6372 NC Primary

Addresses

Primary practice location

2111 Neuse Blvd # K
New Bern, NC 28560-4317

Mailing address

2111 Neuse Blvd # K
New Bern, NC 28560-4317
Phone (252) 637-5001

Other identifiers 1

IdentifierTypeStateIssuer
078GVOtherNCBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080116000182 NC Practitioner - Physical Therapist in Private Practice 7911923305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Craven Physical Therapy and Spine IncGroup PAC ID 0446331433, 7 clinicians

Practice addresses (Care Compare)

2111 K Neuse Blvd
New Bern, NC 28560-4317
Phone (252) 637-5001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6372NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Craven Physical Therapy & Spine, Inc Physical Therapist CurrentSince Dec 1, 2007 Accepting new patients

Locations

2111 Neuse Blvd
Ste K
New Bern, NC 28560
Phone (252) 637-5001

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": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1861688582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 NEUSE BLVD # K",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604317",
            "telephone_number": "252-637-5001",
            "fax_number": "252-637-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 NEUSE BLVD # K",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604317",
            "telephone_number": "252-637-5001",
            "fax_number": "252-637-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "ROBERT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "6372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "078GV",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.