Virginia Roberts, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

4050 Issued in TN

Practice address

9263 Osborn Rd
Arlington, TN 38002-5922

Phone

(901) 496-1057

NPI assigned

Jun 30, 2020

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Courageous Kids, LLC

  • Physical Therapy Clinic/Center
  • Arlington, TN
  • NPI 1952837288
  NPD (past)

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1023635539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9263 OSBORN RD",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380025922",
            "telephone_number": "901-496-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9263 OSBORN RD",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380025922",
            "telephone_number": "901-496-1057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 Billy Bryant Rd",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380174835",
            "country_code": "US",
            "telephone_number": "901-568-2073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "VIRGINIA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "TN",
            "license": "4050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Shutt Rasbach, PHARM D.
• Redmed, LLC
• Marshal Reynolds Richardson, SLP
• Amanda Jennings Riggin, OTR/L
• Monica Rachelle Roberts, PT
• Matthew Edward Russ, DMD
• Leanna Amjad Salem, DPT
• Nicole Samuels, PHARM. D.
• Amanda Sharon Sanders, FNP-BC
• Russell William Sands, DDS GRADUATE WAITING

• All providers in Arlington, TN
• Physical Rehabilitation Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.