Hailey Jordan Roberson

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

4020 Park St N Ste 101
St Petersburg, FL 33709-4030

Phone

(727) 388-4688

NPI assigned

Jul 20, 2023

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)

Enrolled

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1114607678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 4TH AVE S APT 400",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 PARK ST N STE 101",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337094030",
            "telephone_number": "727-388-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "HAILEY",
        "middle_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RMR Counseling LLC
• Barry J. Robbins, M.S.
• Jason Lance Robbins, D.C.
• Michael E Robbins, CRNA
• Ilene Rae Robeck, MD
• Lauren Michelle Roberson, MS., CCC-SLP
• Paul Alexander Roberson Jr.
• Robert C Bock PA
• Robert Chuong DMD MD PA
• Robert E Greene LCSW PA

• Physical Therapist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.