Provider Demographics
NPI:1952493082
Name:ROBSON, NEIL SCOTT (PT)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:SCOTT
Last Name:ROBSON
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 1:5601 NORRIS CANYON RD STE 130
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-5407
Mailing Address - Country:US
Mailing Address - Phone:925-275-1296
Mailing Address - Fax:925-275-1298
Practice Address - Street 1:5601 NORRIS CANYON RD STE 130
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-5407
Practice Address - Country:US
Practice Address - Phone:925-275-1296
Practice Address - Fax:925-275-1298
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15766225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00458318OtherMEDICARE RAILROAD
CAP00458318OtherMEDICARE RAILROAD
CA0PT157662Medicare PIN