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1134166432

NPI Code Detail

MEDICARE: GREGORY B ROBINSON PT

MEDICARE: GREGORY B ROBINSON PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	J1-0001272	DE
2	225100000X	Physical Therapist	PT009185	PA
3	225100000X	Physical Therapist	J1001272	DE
4	225100000X	Physical Therapist	PT009185L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00359639	OTHER	DE	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	30077846	OTHER	PA	KEYSTONE MERCY
2	2081151	OTHER	PA	HIGHMARK PA BLUE SHIELD
3	000050143	OTHER	DE	DPCI
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	3747010000	OTHER	DE	IBC

General Provider Information

NPI Number	:	1134166432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY B ROBINSON PT

Provider Business Mailing Address
First Line	:	2 W 10TH ST
Second Line	:
City	:	MARCUS HOOK
State	:	PA
Zip	:	19061-4513
Country	:	US
Telephone Number	:	610-859-8850
Fax Number	:	610-859-7876

Provider Business Practice Location Address
First Line	:	4709 KIRKWOOD HIGHWAY
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19808-5007
Country	:	US
Telephone Number	:	302-998-9880
Fax Number	:	302-998-7498

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	10/13/2010

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Directions to “ GREGORY B ROBINSON PT” Practice Location

Language	Start Address	Practice Location

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