Shayna L Roberts, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22109 Issued in MD

Practice address

6914 Holabird Ave
Baltimore, MD 21222-1747

Phone

(410) 284-5441

Fax

(410) 284-5442

NPI assigned

Apr 2, 2007

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

Other identifiers 1

Other names 1

• Shayna L Alt Former name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

In Balance Physical Therapy and Wellness Center LLCGroup PAC ID 3678627676, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• In Balance Physical Therapy and Wellness Center LLC

  • Physical Therapist
  • Owings Mills, MD
  • NPI 1588890065
  Medicare reassignment Care Compare group NPD
• In Balance Physical Therapy and Wellness Center LLC

  • Physical Therapy Clinic/Center
  • Baltimore, MD
  • NPI 1558722397
  NPD
• Life Fitness Physical Therapy LLC

  • Physical Therapist
  • Ellicott City, MD
  • NPI 1285882670
  NPD (past)
• Rehabilitation Resources of Maryland, Inc.

  • Physical Therapist
  • Hunt Valley, MD
  • NPI 1225046410
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1124148051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6914 HOLABIRD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212221747",
            "telephone_number": "410-284-5441",
            "fax_number": "410-284-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6914 HOLABIRD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212221747",
            "telephone_number": "410-284-5441",
            "fax_number": "410-284-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SHAYNA",
        "middle_name": "L",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "201193079",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAYNA",
            "last_name": "ALT",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Norman Roberts, CRNA
• Nyesha Roberts, LMT M06458
• Polly Benbow Roberts, M.D.
• Priscilla A Roberts, PTA
• Sarah Elizabeth Roberts, RN
• Sherron Roberts
• Sushma Topiwala Roberts, PH.D.
• Theresa Roberts, CSCAD - INTERN
• Tyra Roberts
• Brian Wilson Robertson, DDS

• Physical Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.