Gregory Shawn Babcock, PT, MDT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT33651 Issued in FL

Practice address

4350 1St Ave NW
Naples, FL 34119-2655

Phone

(828) 412-1189

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Group practices

Synergy Integrated Healthcare IncGroup PAC ID 9436469194, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Synergy Integrated Healthcare Inc

  • Internal Medicine Physician
  • Naples, FL
  • NPI 1184090938

  FL, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Synergy Chiropractic and Health Center PA

  • Chiropractor
  • Naples, FL
  • NPI 1396002952
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1992779987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 1ST AVE NW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341192655",
            "telephone_number": "828-412-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 1ST AVE NW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341192655",
            "telephone_number": "828-412-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "GREGORY",
        "middle_name": "SHAWN",
        "name_prefix": "Mr.",
        "credential": "PT, MDT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT33651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024364",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Azure Counseling and Psychotherapy, PLLC
• B&R Brightpat ABA LLC
• Babas Express Care Services LLC
• Peter Babb
• Angela M Babbo, MD
• Erin Babin, LCSW
• Alexus Bachman, APRN
• Back Pain Institute of Naples, Inc
• Back to Life Chiropractic LLC
• David Backstein, MD

• All providers in Naples, FL
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.