Dorian Vaughn Robertson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE008006 Issued in PA

Practice address

1415 Route 70 E
Suite 103
Cherry Hill, NJ 08034-2210

Phone

(800) 670-3893

NPI assigned

Sep 8, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1235387705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MOYE PL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152102127",
            "telephone_number": "412-861-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 ROUTE 70 E",
            "address_2": "SUITE 103",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342210",
            "telephone_number": "800-670-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "DORIAN",
        "middle_name": "VAUGHN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE008006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Michael Grife Enterprises, LLC
• Gabrielle Roberts-Young, PSYD
• Madison Roberts
• Noel Roberts
• Terry L Roberts Jr., DPT
• John Robertson Jr., MD
• Noelle Robertson, DPT
• Krystal Robinson-Bert
• Deborah Robinson
• Dwayne Robinson

• Physical Therapy Assistant in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.