Caroline N Roberts, ATC, PTA

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2018027217 Issued in MO

Practice address

470 E Lockwood Ave
Saint Louis, MO 63119-3194

Phone

(630) 876-6286

NPI assigned

Mar 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1225531064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5065 GALENA CT",
            "city": "IMPERIAL",
            "state": "MO",
            "postal_code": "630521587",
            "telephone_number": "618-593-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 E LOCKWOOD AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631193194",
            "telephone_number": "630-876-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CAROLINE",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "ATC, PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2018027218",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160007639",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096004237",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2018027217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "carolineroberts@webster.edu",
            "affiliation": "N",
            "address_1": "470 E Lockwood Ave",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631193194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert R. Schlueter DMD PC
• Meagan Robert
• Lauren Elise Roberto, OTR/L
• Anastasia L Roberts, PHARM.D.
• Billy F Roberts, CRNA
• Cassandra Crosswhite Roberts, DO
• Charles Lloyd Roberts, ACNP
• Erica Roberts, BSW, MA
• Felicia Roberts
• George Leroy Roberts, LCSW

• Athletic Trainer in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.