Deverron Roberts, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

53805 Issued in CA

Practice address

1756 11TH St
Reedley, CA 93654-2904

Phone

(559) 638-1171

NPI assigned

Feb 4, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Telesmanic Rehabilitation Inc.

  dba Reedley Physical Therapy

  • Physical Therapy Clinic/Center
  • Reedley, CA
  • NPI 1336504901
  NPD
• Reedley Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Reedley, CA
  • NPI 1134268097
  NPD (past)

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1003620634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 S HOLLY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937065038",
            "telephone_number": "559-999-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 11TH ST",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542904",
            "telephone_number": "559-638-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DEVERRON",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "53805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliana Rico, LMFT
• Gabriela Rios, NP
• Ariel Ritschel, PT, DPT
• Karen Rivera Ramirez
• Carlos Martin Rizo Lopez, LCSW
• Francisco Robledo
• Kassandra Rodriguez
• Maria Roman, LVN
• Benjamin Rosner, MD
• Agustin Rubio, M.D.

• Physical Therapy Assistant in Reedley, CA
• Providers in Reedley, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.