Provider Demographics
NPI:1326097486
Name:ROBBINS, HALLIE J (DO)
Entity Type:Individual
Prefix:DR
First Name:HALLIE
Middle Name:J
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 E 96TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-0782
Mailing Address - Country:US
Mailing Address - Phone:801-696-5257
Mailing Address - Fax:801-683-1859
Practice Address - Street 1:6771 S 900 E
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-1436
Practice Address - Country:US
Practice Address - Phone:801-696-5257
Practice Address - Fax:801-683-1589
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT98-352253-1204204D00000X, 208100000X
NY300888204D00000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
612080200OtherACS
000069040Medicare PIN
000068706Medicare PIN
612080200OtherACS
UT1306176748Medicare UPIN