Individual provider Active NPI

Kristin Phillips Roberts, PT, DPT

  • Physical Therapist
  • Millsboro, DE
National Provider Identifier
1194205070
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0003937 Issued in DE
Practice address
36932 Silicato Drive
Suite 5
Millsboro, DE 19966
Phone
(302) 947-0781
Fax
(302) 947-0761
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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 J1-0003937 DE Primary

Addresses

Primary practice location

36932 Silicato Drive
Suite 5
Millsboro, DE 19966

Mailing address

36932 Silicato Drive
Suite 5
Millsboro, DE 19966
Phone (302) 947-0781

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181010000499 DE Practitioner - Physical Therapist in Private Practice 1052663671 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Syracuse Physical Therapy PartnersGroup PAC ID 6103910948, 14 clinicians

Practice addresses (Care Compare)

15 Fallon Ave
Seaford, DE 19973-1577
Phone (302) 539-3110

Merit-based Incentive Payment System (MIPS)

Final score
82.19 of 100Reported as group
Quality
83.93
Improvement activities
40
Cost
70.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0003937DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc CurrentSince Jul 11, 2018 Accepting new patients
Physiotherapy Associates, Inc. Current Accepting new patients
Physiotherapy Associates Inc CurrentSince Jul 11, 2018 Accepting new patients
Syracuse Physical Therapy Partners CurrentSince Jun 9, 2024 Accepting new patients
Syracuse Physical Therapy Partners Physical Therapist CurrentSince May 13, 2024 Accepting new patients
Konlian,O'Neill & Associates, P.a. Physical Therapist CurrentSince May 15, 2024 Accepting new patients
Konlian,O'Neill & Associates, P.a. Physical Therapist CurrentSince May 15, 2024 Accepting new patients

Locations

256 Foxhunt Dr
Bear, DE 19701
Phone (302) 834-8650

34434 King Street Row
Ste 1
Lewes, DE 19958
Phone (302) 200-9920

20684 John J Williams Hwy
Ste 2
Lewes, DE 19958
Phone (302) 945-0200

20684 John J Williams Hwy
Lewes, DE 19958
Phone (302) 827-6040

800 Airport Rd
Ste 102
Milford, DE 19963
Phone (302) 424-1714

26744 John J Williams Hwy
Millsboro, DE 19966
Phone (302) 945-4250

26744 John J Williams Hwy
Unit 6
Millsboro, DE 19966
Phone (302) 945-4250

15 Fallon Ave
Seaford, DE 19973
Phone (302) 536-1774

659 S Salisbury Blvd
Ste 1B
Salisbury, MD 21801
Phone (410) 831-3226

Organizations & group practices 7

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": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1194205070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36932 SILICATO DRIVE",
            "address_2": "SUITE 5",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "19966",
            "telephone_number": "302-947-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36932 SILICATO DRIVE",
            "address_2": "SUITE 5",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "19966",
            "telephone_number": "302-947-0781",
            "fax_number": "302-947-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KRISTIN",
        "middle_name": "PHILLIPS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0003937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.