Individual provider Active NPI

Robert Dwight Pair, PHYSICAL THERAPIST

  • Physical Therapist
  • Bakersfield, CA
National Provider Identifier
1972517902
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT100860 Issued in CA
Practice address
2603 G Street
Bakersfield, CA 93301
Phone
(616) 634-9440
Fax
(661) 634-9506
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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 PT100860 CA Primary

Addresses

Primary practice location

2603 G Street
Bakersfield, CA 93301

Mailing address

5337 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 328-0650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060313000199 CA Practitioner - Physical Therapist in Private Practice 1951347467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pair and Marotta Physical Therapy IncGroup PAC ID 5698782993, 12 clinicians

Practice addresses (Care Compare)

2603 G St
Bakersfield, CA 93301-2828
Phone (661) 634-9440

5337 Truxtun Ave
Bakersfield, CA 93309-0641
Phone (661) 324-0122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10086CAMDProfessional Counselor
PT100860CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pair & Marotta Physical Therapy, Inc. Physical Therapist CurrentSince Feb 1, 2006 Accepting new patients
Pair & Marotta Physical Therapy, Inc. CurrentSince Feb 1, 2006 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

5337 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 324-0122

2603 G St
Bakersfield, CA 93301
Phone (661) 634-9440

1723 27th St
Bakersfield, CA 93301
Phone (661) 324-0122

Organizations & group practices 3

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1972517902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5337 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93309",
            "telephone_number": "661-328-0650",
            "fax_number": "661-328-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 G STREET",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93301",
            "telephone_number": "616-634-9440",
            "fax_number": "661-634-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIR",
        "first_name": "ROBERT",
        "middle_name": "DWIGHT",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT100860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.