Individual provider Active NPI

Robbin Versilla Rowell, DPT

  • Physical Therapy Clinic/Center
  • Columbus, GA
National Provider Identifier
1932390804
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT008812 Issued in GA
Practice address
3645 Gentian Blvd
Suite 1
Columbus, GA 31907-5687
Phone
(706) 507-4433
Fax
(706) 507-4463
NPI assigned
Aug 6, 2007
Last updated
Nov 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT008812 GA Primary

Addresses

Primary practice location

3645 Gentian Blvd
Suite 1
Columbus, GA 31907-5687

Mailing address

3645 Gentian Blvd
Suite 1
Columbus, GA 31907-5687
Phone (706) 507-4433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071113000399 GA Practitioner - Physical Therapist in Private Practice 0143318907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3635 Gentian Blvd
Suite 1
Columbus, GA 31907-5687

6 Mink CT
Midland, GA 31820-3741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT008812GAMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
R & R Rehabiliation, P.C. Physical Therapy CurrentSince Jan 5, 2007 Accepting new patients

Locations

3645 Gentian Blvd
Ste 1
Columbus, GA 31907
Phone (706) 507-4013

6079 Knology Way
Columbus, GA 31909
Phone (706) 507-4433

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1932390804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 GENTIAN BLVD",
            "address_2": "SUITE 1",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075687",
            "telephone_number": "706-507-4433",
            "fax_number": "706-507-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 GENTIAN BLVD",
            "address_2": "SUITE 1",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075687",
            "telephone_number": "706-507-4433",
            "fax_number": "706-507-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWELL",
        "first_name": "ROBBIN",
        "middle_name": "VERSILLA",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT008812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.