Tanya Robertson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA.0013966 Issued in CO

Practice address

1633 Grove Street
Boulder, CO 80302

Phone

(828) 775-4445

NPI assigned

Sep 21, 2016

Sex

Female

Sole proprietor

Yes

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": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1265980031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 GROVE STREET",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80302",
            "telephone_number": "828-775-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 GROVE STREET",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80302",
            "telephone_number": "828-775-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "TANYA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "PTA.0013966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Roberts, LPC
• Susan C. Roberts, MSW, LICSW
• William A Roberts, M.D.
• Zachary William Roberts, D.C.
• Alexander Robertson
• Teresa A Robertson, CNM RN
• Pamela R Robichaud, DPT
• Robin Goldstein-Lincoln, LLC
• Sallie Robinson Ward, PH.D., LPC
• Abigail Judith Robinson, LCSW

• Physical Therapy Assistant in Boulder, CO
• Providers in Boulder, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.