Robert Allan Briggs, DPT, OCS, CSCS, PHD

Individual provider Active NPI Orthopedic Physical Therapist · Wpafb, OH

NPI 1962465526 · NPPES record last updated Aug 3, 2023

Key facts

NPI
1962465526
Entity type
Individual (NPI type 1)
Primary specialty
Orthopedic Physical Therapist 2251X0800X
License
PT-2056 (ID)
Practice address
88 MDG/SGHJ
4881 Sugar Maple Drive
Wpafb, OH 43433
Phone
(937) 257-8753
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2003028226MOMDPhysical Therapist
PT-2056IDMDOrthopedic Physical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2003028226 MO
Physical Therapist 225100000X PT-2056 ID
Orthopedic Physical Therapist 2251X0800X PT-2056 ID Yes

Addresses

Primary practice location

88 MDG/SGHJ
4881 Sugar Maple Drive
Wpafb, OH 43433

Mailing address

88 MDG/SGHJ
4881 Sugar Maple Drive
Wpafb, OH 43433
Phone (937) 257-8753

Other providers in Wpafb, OH

All providers in Wpafb, OH · Orthopedic Physical Therapist in Ohio

Sources for this page

Verify at the official NPI Registry.