Provider Demographics
NPI:1154305506
Name:LOOBY, ROBERT F (PT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:F
Last Name:LOOBY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:586 KEARNEY AVENUE
Mailing Address - Street 2:2FL
Mailing Address - City:KEARNEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032
Mailing Address - Country:US
Mailing Address - Phone:201-991-9272
Mailing Address - Fax:201-991-1532
Practice Address - Street 1:586 KEARNEY AVENUE
Practice Address - Street 2:2FL
Practice Address - City:KEARNEY
Practice Address - State:NJ
Practice Address - Zip Code:07032
Practice Address - Country:US
Practice Address - Phone:201-991-9272
Practice Address - Fax:201-991-1532
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00556400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
034162Medicare ID - Type Unspecified