Active NPI
Katy Annette Roberts, DPT
- Physical Therapist
- Tamuning, GU
National Provider Identifier
1174946644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 38905
- Practice address
- 388 Ypao Rd
Tamuning, GU 96913-3701 - Phone
- (671) 646-8881
- Fax
- (671) 646-1292
- NPI assigned
- Feb 3, 2014
- Last updated
- Feb 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 38905 | CA | Primary |
Addresses
Primary practice location
388 Ypao Rd
Tamuning, GU 96913-3701
Mailing address
388 Ypao Rd
Tamuning, GU 96913-3701
Phone (671) 646-8881
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38905 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391385600000",
"number": "1174946644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 YPAO RD",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133701",
"telephone_number": "671-646-8881",
"fax_number": "671-646-1292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 YPAO RD",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133701",
"telephone_number": "671-646-8881",
"fax_number": "671-646-1292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "KATY",
"middle_name": "ANNETTE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-03",
"last_updated": "2014-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "38905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.