Basic Information
Provider Information
NPI: 1962442418
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROBBINS
FirstName: TODD
MiddleName: STERLING
NamePrefix:  
NameSuffix:  
Credential: MSPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 35 E UWCHLAN AVE
Address2: SUITE 330
City: EXTON
State: PA
PostalCode: 193411259
CountryCode: US
TelephoneNumber: 6108413555
FaxNumber: 6108413558
Practice Location
Address1: 51 BROAD ST
Address2: SUITE 1
City: PHILLIPSBURG
State: NJ
PostalCode: 088651206
CountryCode: US
TelephoneNumber: 9084542404
FaxNumber: 9084542431
Other Information
ProviderEnumerationDate: 06/06/2006
LastUpdateDate: 10/27/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X40QA00990400NJY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000XPT017078PAN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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