Individual provider Active NPI

Rebecca Love Roberts, PT

  • Physical Therapist
  • Morristown, TN
National Provider Identifier
1245424605
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0000006491 Issued in TN
Practice address
901 E Morris Blvd
Morristown, TN 37813-2499
Phone
(423) 586-6866
Fax
(423) 581-9679
NPI assigned
Aug 29, 2007
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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 0000006491 TN Primary

Addresses

Primary practice location

901 E Morris Blvd
Morristown, TN 37813-2499

Mailing address

1437 Erwin Hwy
Greeneville, TN 37745-4451
Phone (423) 257-6761

Other practice location 1

55 Nursing Home Rd
Chuckey, TN 37641-5579
Phone (423) 257-6761

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210713003110 TN Practitioner - Physical Therapist in Private Practice 7618379686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6491TNMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1245424605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 ERWIN HWY",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454451",
            "telephone_number": "423-257-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132499",
            "telephone_number": "423-586-6866",
            "fax_number": "423-581-9679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Nursing Home Rd",
            "address_purpose": "LOCATION",
            "city": "Chuckey",
            "state": "TN",
            "postal_code": "376415579",
            "country_code": "US",
            "telephone_number": "423-257-6761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "REBECCA",
        "middle_name": "LOVE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "0000006491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.