Craig Roberts, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

30190 Issued in FL

Practice address

2954 Mallory Cir Ste 110
Celebration, FL 34747-1820

Phone

(321) 939-0222

NPI assigned

Aug 7, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Celebration Orthopedic and Sports Medicine Institute Inc

  • Orthopaedic Surgery Physician
  • Celebration, FL
  • NPI 1558438036
  NPD (past)
• Celebration Orthopedic and Sports Medicine Institute Inc

  • Orthopaedic Surgery Physician
  • Orlando, FL
  • NPI 1659254456
  NPD (past)

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1407466147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1584 FRANCOIS CT",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2954 MALLORY CIR STE 110",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347471820",
            "telephone_number": "321-939-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CRAIG",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "30190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Rios Serrano
• Viviana Rios, OD
• James M Rippe, MD
• Griselle Esther Rivera, APNC
• Kaylee Rivera, APRN
• Joseph E. Robison, M.D.
• Melany Rodriguez Traverzo
• Raymond Rodriguez III, O.D.
• Veronica L Rodriguez, DDS
• Travis Phillip Rogers, M.D.

• Physical Therapy Assistant in Celebration, FL
• Providers in Celebration, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.