Joelle Miranda Roberson, M.S., P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

011750 Issued in NY

Practice address

98 N Ellicott St
Williamsville, NY 14221-5535

Phone

(716) 631-0215

NPI assigned

Aug 14, 2008

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

Credentials

Master of Science

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1063668739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 N ELLICOTT ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215535",
            "telephone_number": "716-631-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 N ELLICOTT ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215535",
            "telephone_number": "716-631-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "JOELLE",
        "middle_name": "MIRANDA",
        "name_prefix": "Mrs.",
        "credential": "M.S., P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "011750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Rizzo, CRNA
• Jennifer Jayne Rizzo, BSN,RN
• Maria P. Rizzo, LMT
• Mariana Renee Rizzo, CNP
• Barbara Ann Roba, LMHC, CPC
• Ann Marie Robertson
• Brandon Robinson, FNP-BC
• Carola E Robinson, MD.
• Ebony Robinson, LPN
• Nicholas Robinson, NP

• Pediatric Physical Therapist in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.