Individual provider Active NPI

Teri S Roberts, DPT

  • Physical Therapist
  • Goodyear, AZ
National Provider Identifier
1215037718
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6814 Issued in AZ
Practice address
14535 W Indian School Rd
Suite 100
Goodyear, AZ 85338-9262
Phone
(623) 734-5544
Fax
(623) 337-4692
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6814 AZ Primary

Addresses

Primary practice location

14535 W Indian School Rd
Suite 100
Goodyear, AZ 85338-9262

Mailing address

15300 W Roanoke Ave
Goodyear, AZ 85338-8979
Phone (623) 734-5545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070115000218 AZ Practitioner - Physical Therapist in Private Practice 2264431493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Orthopedic Physical Therapy PLLCGroup PAC ID 9638177272, 23 clinicians

Practice addresses (Care Compare)

14557 W Indian School Rd
Suite 500
Goodyear, AZ 85395-9218
Phone (623) 242-6908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6814AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Orthopedic Physical Therapy, PLLC CurrentSince Mar 7, 2020 Accepting new patients
Landmark Physical Therapy, PLLC Physical Therapist Past Accepting new patients

Locations

23350 W Yuma Rd
Buckeye, AZ 85326
Phone (623) 547-5260

23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462

14535 W Indian School Rd
Ste 100
Goodyear, AZ 85395
Phone (623) 734-5544

14557 W Indian School Rd
Ste 500
Goodyear, AZ 85395
Phone (623) 229-7808

14557 W Indian School Rd
#500
Goodyear, AZ 85395
Phone (203) 525-7309

2650 E McDowell Rd
Phoenix, AZ 85008
Phone (602) 263-1010

Organizations & group practices 2

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215037718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 W ROANOKE AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853388979",
            "telephone_number": "623-734-5545",
            "fax_number": "623-337-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14535 W INDIAN SCHOOL RD",
            "address_2": "SUITE 100",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389262",
            "telephone_number": "623-734-5544",
            "fax_number": "623-337-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "TERI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.