Individual provider Active NPI

Levi Roberts, DPT

  • Physical Therapist
  • Sparta, NJ
National Provider Identifier
1295433845
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02157000 Issued in NJ
Practice address
540 Lafayette Rd # 100
Sparta, NJ 07871-3497
Phone
(973) 726-7440
NPI assigned
Feb 22, 2023
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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 40QA02157000 NJ Primary

Addresses

Primary practice location

540 Lafayette Rd # 100
Sparta, NJ 07871-3497

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 405-6356

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230308000095 NJ Practitioner - Physical Therapist in Private Practice 2567835853 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1070 US Hwy 46
Suite 7
Ledgewood, NJ 07852-9701
Phone (973) 996-4767

300 Rte
Suite 17
Mahwah, NJ 07430-2141
Phone (201) 529-8322

540 Lafayette Rd
Suite 100
Sparta, NJ 07871-3497
Phone (973) 726-7400

78 Main St
Suite 50
Hackettstown, NJ 07840-1361
Phone (908) 428-7986

90 US Hwy 206
Suite 50
Stanhope, NJ 07874-3128
Phone (862) 946-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02157000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince May 5, 2025 Accepting new patients
Drayer Physical Therapy of New Jersey LLC Physical Therapist CurrentSince Feb 27, 2023 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince May 5, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

244 Route 206
Ste 3
Flanders, NJ 07836
Phone (973) 598-3077

300 Route 17
Mahwah, NJ 07430
Phone (201) 529-8322

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

84 Orient Way
Rutherford, NJ 07070
Phone (201) 514-4900

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

540 Lafayette Rd
#100
Sparta, NJ 07871
Phone (973) 726-7400

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 4

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": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1295433845",
    "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": "423-405-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 LAFAYETTE RD # 100",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713497",
            "telephone_number": "973-726-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LEVI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02157000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.