Active NPI
Julie A Roberts
- Physical Therapist
- Pawtucket, RI
National Provider Identifier
1346371168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00466
- Practice address
- 100 Smithfield Ave
Pawtucket, RI 02860-3497 - Phone
- (401) 725-9666
- Fax
- (401) 722-5896
- NPI assigned
- Mar 7, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00466 | RI | Primary |
Addresses
Primary practice location
100 Smithfield Ave
Pawtucket, RI 02860-3497
Mailing address
100 Smithfield Ave
Pawtucket, RI 02860-3497
Phone (401) 725-9666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409086 | Other | RI | BLUE CROSS BLUE CHIP |
Other names 1
- Julie A Smith
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00466 | RI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346371168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SMITHFIELD AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028603497",
"telephone_number": "401-725-9666",
"fax_number": "401-722-5896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SMITHFIELD AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028603497",
"telephone_number": "401-725-9666",
"fax_number": "401-722-5896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "JULIE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT00466",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE CHIP",
"identifier": "409086",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "SMITH",
"middle_name": "A",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.