Active NPI
Roberts Orthotics & Prosthetics
- Prosthetic/Orthotic Supplier
- Waynesburg, PA
National Provider Identifier
1417912668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ROBERTS ORTHOTICS & PROSTHETICS
- Practice address
- 244 Elm Dr
Suite 104
Waynesburg, PA 15370-8269 - Phone
- (724) 627-4600
- Fax
- (724) 627-4606
- NPI assigned
- Apr 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey L. Roberts, BOCOP
- Title
- Owner
- Phone
- (724) 627-4600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
244 Elm Dr
Suite 104
Waynesburg, PA 15370-8269
Mailing address
244 Elm Dr
Suite 104
Waynesburg, PA 15370-8269
Phone (724) 627-4600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123485 | Medicaid | PA | |
| 219555 | Other | PA | BLUE CROSS/BLUE SHIELD |
| 001823780002 | Medicaid | PA | |
| 6204003000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
107 E Roy Furman Hwy
Ste 104
Waynesburg, PA 15370
Phone (724) 627-4600
244 Elm Dr
Waynesburg, PA 15370
Phone (724) 627-4600
244 Elm Dr
Ste 104
Waynesburg, PA 15370
Phone (724) 627-4600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492473600000",
"number": "1417912668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 ELM DR",
"address_2": "SUITE 104",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "153708269",
"telephone_number": "724-627-4600",
"fax_number": "724-627-4606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 ELM DR",
"address_2": "SUITE 104",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "153708269",
"telephone_number": "724-627-4600",
"fax_number": "724-627-4606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERTS ORTHOTICS & PROSTHETICS",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-19",
"last_updated": "2017-04-18",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "724-627-4600",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BOCOP"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123485",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "219555",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001823780002",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6204003000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waynesburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.