Provider Demographics
NPI:1942399662
Name:ZUMBERGE, ROBIN M (OTR/CHT)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:M
Last Name:ZUMBERGE
Suffix:
Gender:F
Credentials:OTR/CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 684986
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78768-4986
Mailing Address - Country:US
Mailing Address - Phone:512-444-4263
Mailing Address - Fax:512-444-4264
Practice Address - Street 1:1825 FORTVIEW RD
Practice Address - Street 2:SUITE 103
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-7654
Practice Address - Country:US
Practice Address - Phone:512-444-4263
Practice Address - Fax:512-444-4264
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108586225X00000X
TX104110579225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T7160OtherBCBSTX PROVIDER NUMBER
TX8F22498OtherMEDICARE PTAN