Jodi Renae Roberts, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06004474A Issued in IN

Practice address

1397 Paris Dr
Franklin, IN 46131-8562

Phone

(812) 343-2797

NPI assigned

Aug 13, 2024

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 names 1

• Jodi Stout Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Accord Children's Therapy, LLC

  • Early Intervention Provider Agency
  • Franklin, IN
  • NPI 1629305966
  NPD (past)

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1194556910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 PARIS DR",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461318562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 PARIS DR",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461318562",
            "telephone_number": "812-343-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JODI",
        "middle_name": "RENAE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06004474A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "STOUT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Fielding Rhea, PA
• Pamela Jane Richards-Fishel, COTA
• Joann Richardson
• Travis E Richey, R.PH.
• Riverview Hospital (Homeview Center of Franklin)
• Kathleen Susan Robertson, IBCLC
• Victoria Joyce Robertson, MS, CGC
• Rockey Psychological Services Inc.
• Marsha Lynne Rockey, PSYD, HSPP
• Sydney Leigh Rodgers

• Physical Therapy Assistant in Franklin, IN
• Providers in Franklin, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.