Individual provider Active NPI

Roxanne Robes, PTA

  • Physical Therapy Assistant
  • Saint George, SC
National Provider Identifier
1073235032
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
3355 Issued in SC
Practice address
5502 Memorial Blvd Unit 2
Saint George, SC 29477-2286
Phone
(843) 638-5122
Fax
(843) 638-5126
NPI assigned
Sep 16, 2022
Last updated
Sep 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 3355 SC Primary

Addresses

Primary practice location

5502 Memorial Blvd Unit 2
Saint George, SC 29477-2286

Mailing address

5502 Memorial Blvd Unit 2
Saint George, SC 29477-2286
Phone (843) 638-5122

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renewal Rehabilitation Center, LLC CurrentSince Sep 20, 2022 Accepting new patients

Locations

5502 Memorial Blvd
Unit 2
Saint George, SC 29477
Phone (843) 638-5122

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1073235032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 MEMORIAL BLVD UNIT 2",
            "city": "SAINT GEORGE",
            "state": "SC",
            "postal_code": "294772286",
            "telephone_number": "843-638-5122",
            "fax_number": "843-638-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 MEMORIAL BLVD UNIT 2",
            "city": "SAINT GEORGE",
            "state": "SC",
            "postal_code": "294772286",
            "telephone_number": "843-638-5122",
            "fax_number": "843-638-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBES",
        "first_name": "ROXANNE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "3355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.