Patricia (Trisha) Betty Roberts, RPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

33400 Issued in FL

Practice address

24 Hollywood Blvd SW Ste 7
Fort Walton Beach, FL 32548-4893

Phone

(850) 226-7411

Fax

(850) 226-7496

NPI assigned

May 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Treehouse Therapies, LLC

  • Pediatric Physical Therapist
  • Fort Walton Beach, FL
  • NPI 1083380828

  Pediatrics

  NPD
• Treehouse Therapies, LLC

  • Speech-Language Pathologist
  • Fort Walton Beach, FL
  • NPI 1972800639

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1053526152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HOLLYWOOD BLVD SW STE 7",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484893",
            "telephone_number": "850-226-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOLLYWOOD BLVD SW STE 7",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484893",
            "telephone_number": "850-226-7411",
            "fax_number": "850-226-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "PATRICIA (TRISHA)",
        "middle_name": "BETTY",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IN",
            "license": "05001208A",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "33400",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "33400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053526152",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert D. Siwicki,D.P.M.,P.a. (Emerald Coast Podiatry & Wound Care Center)
• Paul Michael Robert, LPN
• Franklin Arnold Roberts, LMHC LMFT
• Jane Anne Roberts, RN, COTA/L
• Jennifer Dawn Roberts, PHARMD
• Jada Montrice Robinson, RBT
• Todd W Robinson, M.D.
• Fabiola Rocho Margara, MATY1
• Justyce Nicole Rodden
• Margaret Mary Rodgers, APRN, FNP-BC

• Pediatric Physical Therapist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Pediatric Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.