Organization Active NPI

Steven Roberts PT, PLLC

  • Physical Therapist
  • Wappingers Falls, NY
National Provider Identifier
1356966790
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STEVEN ROBERTS PT, PLLC
Doing business as
Combat Sports Physical Therapy
Practice address
45 Mina Dr
Wappingers Falls, NY 12590-4446
Phone
(845) 393-4506
NPI assigned
Jun 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven Roberts
Title
Owner
Phone
(845) 393-4506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

45 Mina Dr
Wappingers Falls, NY 12590-4446

Mailing address

45 Mina Dr
Wappingers Falls, NY 12590-4446
Phone (845) 393-4506

Other names 1

  • Combat Sports Physical Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.combatsportsphysicaltherapy.com

National Provider Directory

National Provider Directory
Tax ID family
Combat Sports Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1356966790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MINA DR",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904446",
            "telephone_number": "845-393-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MINA DR",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904446",
            "telephone_number": "845-393-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN ROBERTS PT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-393-4506"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.combatsportsphysicaltherapy.com",
            "affiliation": "N",
            "address_1": "45 Mina Dr",
            "city": "Wappingers Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125904446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Combat Sports Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.