Marjorie Sheryl Robertson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60863 Issued in OR

Practice address

147 SW Shevlin Hixon Dr Ste 104
Bend, OR 97702-3185

Phone

(541) 312-2252

Fax

(541) 312-8822

NPI assigned

Mar 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Marjorie Sheryl Miner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sarah Peterson LCSW LLC

  • Mental Health Counselor
  • Bend, OR
  • NPI 1316503105
  NPD (past)
• Elizabeth Corbett Renner

  • Specialist
  • Rochester, NY
  • NPI 1841471117
  NPD (past)

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1134545254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 SW SHEVLIN HIXON DR STE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023185",
            "telephone_number": "541-312-2252",
            "fax_number": "541-312-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 SW SHEVLIN HIXON DR STE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023185",
            "telephone_number": "541-312-2252",
            "fax_number": "541-312-8822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146097421",
            "country_code": "US",
            "telephone_number": "585-288-1260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "MARJORIE",
        "middle_name": "SHERYL",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "60863",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "009442-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARJORIE",
            "last_name": "MINER",
            "middle_name": "SHERYL",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sean Roberts, M.S., L.P.C
• Steven Roberts, LPC
• Tabbitha Marie Roberts
• Reggie Y Robertson Martinez, LMT
• Jacob Robertson
• Roan Robertson
• Robin K Vickery LCSW LLC
• Edmund Arthur Robinson
• Jessica G Robinson
• Laura M Robinson, LPC

• Physical Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.