Individual provider Active NPI

Robert Lynn Whipple, PT

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1972503951
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6432 Issued in AZ
Practice address
217 S 63Rd St
Ste 101
Mesa, AZ 85206
Phone
(480) 981-0900
Fax
(480) 981-0897
NPI assigned
Jul 29, 2005
Last updated
Nov 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 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 6432 AZ Primary

Addresses

Primary practice location

217 S 63Rd St
Ste 101
Mesa, AZ 85206

Mailing address

217 S 63Rd St
Ste 101
Mesa, AZ 85206
Phone (480) 981-0900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629000257 AZ Practitioner - Physical Therapist in Private Practice 1557347648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

217 S 63Rd St
Suite 101
Mesa, AZ 85206-6106
Phone (480) 981-0900

Merit-based Incentive Payment System (MIPS)

Final score
83.18 of 100Reported as group
Quality
80
Improvement activities
40
Cost
70.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6432AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Valley Physical Therapy & Aquatic Rehabilitation LTD Physical Therapist CurrentSince Jun 3, 2004 Accepting new patients
Performance Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

217 S 63rd St
Ste 101
Mesa, AZ 85206
Phone (480) 981-0900

3411 N 5th Ave
Ste 508
Phoenix, AZ 85013
Phone (602) 264-0443

Organizations & group practices 2

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1972503951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S 63RD ST",
            "address_2": "STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-981-0900",
            "fax_number": "480-981-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S 63RD ST",
            "address_2": "STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-981-0900",
            "fax_number": "480-981-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIPPLE",
        "first_name": "ROBERT",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.