Active NPI
Angela Mary Roberts, R.P.T.
- Physical Therapist
- Placentia, CA
National Provider Identifier
1063673101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13110
- Practice address
- 2031 E Orangethorpe Ave
Placentia, CA 92870-6723 - Phone
- (714) 279-6001
- NPI assigned
- Jun 20, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13110 | CA | Primary |
Addresses
Primary practice location
2031 E Orangethorpe Ave
Placentia, CA 92870-6723
Mailing address
2031 E Orangethorpe Ave
Placentia, CA 92870-6723
Phone (714) 279-6001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13110 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1063673101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2031 E ORANGETHORPE AVE",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928706723",
"telephone_number": "714-279-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2031 E ORANGETHORPE AVE",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928706723",
"telephone_number": "714-279-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "ANGELA",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "R.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-20",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "13110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Placentia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.