Individual provider Active NPI

Conner Addison Roberts, PT, DPT

  • Physical Therapist
  • Lebanon, TN
National Provider Identifier
1285512988
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16373 Issued in TN
Practice address
1303 W Baddour Pkwy
Lebanon, TN 37087-2511
Phone
(615) 444-1408
Fax
(615) 444-1393
NPI assigned
Aug 22, 2025
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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 16373 TN Primary

Addresses

Primary practice location

1303 W Baddour Pkwy
Lebanon, TN 37087-2511

Mailing address

1701 Magnolia Dr
Lebanon, TN 37087-4560
Phone (360) 471-2261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251007001181 TN Practitioner - Physical Therapist in Private Practice 0941707061 Reassigns benefits to 1 organization
I20260605002507 ID Practitioner - Physical Therapist in Private Practice 0941707061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ZRJ IncGroup PAC ID 6507858172, 12 clinicians
Inspired PT LLCGroup PAC ID 6305214297, 17 clinicians

Practice addresses (Care Compare)

2316 S Eagle Rd
Meridian, ID 83642-2665
Phone (208) 286-2707

3960 Dodson Chapel Rd
Hermitage, TN 37076-3509
Phone (615) 933-4330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16373TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired PT, LLC Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
Inspired PT, LLC Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients

Locations

840 N Bluejay Way
Ste 107
Gallatin, TN 37066
Phone (615) 989-0420

230 New Shackle Island Rd
Ste 120
Hendersonvlle, TN 37075
Phone (615) 989-0660

3960 Dodson Chapel Rd
Hermitage, TN 37076
Phone (615) 850-3773

1303 W Baddour Pkwy
Lebanon, TN 37087
Phone (615) 444-1408

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1285512988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MAGNOLIA DR",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370874560",
            "telephone_number": "360-471-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 W BADDOUR PKWY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872511",
            "telephone_number": "615-444-1408",
            "fax_number": "615-444-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CONNER",
        "middle_name": "ADDISON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "16373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.

Verify at the official NPI Registry.