Active NPI
Sandra Ann Roberts
- Massage Therapist
- Saint Louis, MO
National Provider Identifier
1326848474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2009030590
- Practice address
- 5431 Chippewa St
Saint Louis, MO 63109-1635 - Phone
- (314) 900-4362
- NPI assigned
- Mar 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2009030590 | MO | Primary |
Addresses
Primary practice location
5431 Chippewa St
Saint Louis, MO 63109-1635
Mailing address
5431 Chippewa St Ste B104
Saint Louis, MO 63109-1635
Phone (314) 900-4362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009030590 | MO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1326848474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5431 CHIPPEWA ST STE B104",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631091635",
"telephone_number": "314-900-4362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5431 CHIPPEWA ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631091635",
"telephone_number": "314-900-4362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "SANDRA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-18",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MO",
"license": "2009030590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.