Active NPI
Tony A Roberts, PT, DPT
- Physical Therapist
- Locust Grove, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014557
- Practice address
- 4959 Bill Gardner Pkwy Ste 109
Locust Grove, GA 30248-2915 - Phone
- (770) 914-9285
- Fax
- (770) 914-5668
- NPI assigned
- Jan 1, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT30071 | FL | |
| Physical Therapist | 225100000X | PT014557 | GA | Primary |
Addresses
Primary practice location
4959 Bill Gardner Pkwy Ste 109
Locust Grove, GA 30248-2915
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other practice location 1
196 Scottville Rd
LaMont, FL 32336-7310
Phone (850) 345-4274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1660 N Monroe St
Suite 3
Tallahassee, FL 32303-5558
Phone (850) 656-3163
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT014557 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| R&R Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
| Atlanta South Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Georgia LLC | Physical Therapist | Current | Accepting new patients |
| Burke Collins Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Now Holdings, LLC | Physical Therapist | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
3339 Highway 17
Green Cove Springs, FL 32043
Phone (904) 284-5721
1660 N Monroe St
Ste 3
Tallahassee, FL 32303
Phone (850) 656-3163
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
4959 Bill Gardner Pkwy
Ste 109
Locust Grove, GA 30248
Phone (770) 914-9285
3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280
1498 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 289-0525
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
Organizations & group practices 8
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.
-
- Physical Therapist
- Tallahassee, FL
- NPI 1306843164
-
- Physical Therapy Clinic/Center
- Duluth, GA
- NPI 1083666903
-
- Physical Therapist
- Loganville, GA
- NPI 1962830406
-
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
-
- Rehabilitation Clinic/Center
- Jacksonville, FL
- NPI 1306729330
Physical Therapist
-
- Physical Therapist
- Lawrenceville, GA
- NPI 1922051564
-
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1285090548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4959 BILL GARDNER PKWY STE 109",
"city": "LOCUST GROVE",
"state": "GA",
"postal_code": "302482915",
"telephone_number": "770-914-9285",
"fax_number": "770-914-5668"
}
],
"practiceLocations": [
{
"address_1": "196 Scottville Rd",
"address_purpose": "LOCATION",
"city": "LaMont",
"state": "FL",
"postal_code": "323367310",
"country_code": "US",
"telephone_number": "850-345-4274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "TONY",
"middle_name": "A",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-01",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT30071",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Locust Grove, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.