Individual provider Active NPI

Nia Roberts, DPT

  • Physical Therapist
  • San Marcos, TX
National Provider Identifier
1003505108
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1376880 Issued in TX
Practice address
102 Wonder World Dr Ste 401
San Marcos, TX 78666-6072
Phone
(512) 262-9578
Fax
(512) 782-2989
NPI assigned
May 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1376880 TX Primary

Addresses

Primary practice location

102 Wonder World Dr Ste 401
San Marcos, TX 78666-6072

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230726000243 GA Practitioner - Physical Therapist in Private Practice 1456712322 Reassigns benefits to 4 organizations
I20240723004844 TX Practitioner - Physical Therapist in Private Practice 1456712322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

102 Wonder World Dr
401 Results Physiotherapy
San Marcos, TX 78666-6072
Phone (512) 262-9578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1376880TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince May 30, 2023 Accepting new patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince May 30, 2023 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince May 30, 2023 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince May 30, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince May 22, 2023 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince May 30, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince May 22, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1200 Corporate Dr
Hoover, AL 35242

3450 Cobb Pkwy NW
Ste 210
Acworth, GA 30101
Phone (770) 974-1978

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1275 Highway 54 W
Ste 200
Fayetteville, GA 30214
Phone (770) 460-8609

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

898 Hampton Rd
McDonough, GA 30253
Phone (678) 583-9954

1111 Lower Fayetteville Rd
Ste 2000
Newnan, GA 30265
Phone (770) 251-7284

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

1335 E Whitestone Blvd
#100
Cedar Park, TX 78613
Phone (512) 539-0032

102 Wonder World Dr
Ste 401
San Marcos, TX 78666
Phone (512) 262-9578

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19640/brand/1/csg/1/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1003505108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WONDER WORLD DR STE 401",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666072",
            "telephone_number": "512-262-9578",
            "fax_number": "512-782-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "NIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1376880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.