Active NPI
Dorothy Gwendolyn Robinson, PTA
- Physical Medicine & Rehabilitation Physician
- Marianna, FL
National Provider Identifier
1992260608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 27933
- Practice address
- 4285 Lafayette St
Marianna, FL 32446-2919 - Phone
- (386) 292-0802
- NPI assigned
- Feb 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 27933 | FL | Primary |
Addresses
Primary practice location
4285 Lafayette St
Marianna, FL 32446-2919
Mailing address
4285 Lafayette St
Marianna, FL 32446-2919
Phone (386) 292-0802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N0675045807-8 | Other | FL | HEALTHCARE PROVIDERS SERVICE ORGANIZATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27933 | FL | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1992260608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4285 LAFAYETTE ST",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324462919",
"telephone_number": "386-292-0802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4285 LAFAYETTE ST",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324462919",
"telephone_number": "386-292-0802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "DOROTHY",
"middle_name": "GWENDOLYN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-06",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "27933",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE PROVIDERS SERVICE ORGANIZATION",
"identifier": "N0675045807-8",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marianna, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.