Individual provider Active NPI

Barbara Ellen Roeber, PT, DPT

  • Physical Therapist
  • Durham, NC
National Provider Identifier
1073571980
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2741 Issued in NC
Practice address
5318 Highgate Dr
Suite 134
Durham, NC 27713-6630
Phone
(919) 237-3802
Fax
(919) 237-3807
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2741 NC Primary

Addresses

Primary practice location

5318 Highgate Dr
Suite 134
Durham, NC 27713-6630

Mailing address

5318 Highgate Dr
Suite 134
Durham, NC 27713-6630
Phone (919) 237-3802

Other identifiers 1

IdentifierTypeStateIssuer
7211150MedicaidNC

Other names 1

  • Ellen Roeber Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100209000748 NC Practitioner - Physical Therapist in Private Practice 4385615657 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2741NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Physical Therapy Physical Therapist CurrentSince Jan 15, 2010 Accepting new patients
Physical Therapy of North Carolina, LLC Physical Therapist PastSince Aug 2, 2004 Accepting new patients

Locations

5318 Highgate Dr
Ste 134
Durham, NC 27713
Phone (919) 237-3802

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1073571980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 HIGHGATE DR",
            "address_2": "SUITE 134",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136630",
            "telephone_number": "919-237-3802",
            "fax_number": "919-237-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 HIGHGATE DR",
            "address_2": "SUITE 134",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136630",
            "telephone_number": "919-237-3802",
            "fax_number": "919-237-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEBER",
        "first_name": "BARBARA",
        "middle_name": "ELLEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211150",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "ROEBER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.