Active NPI
Kerri Roberts, ATC
- Contractor
- Newtown, PA
National Provider Identifier
1427478379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- RT004178
- Practice address
- 2700 S Eagle Rd
Newtown, PA 18940-1556 - Phone
- (215) 642-6930
- Fax
- (215) 968-3014
- NPI assigned
- Apr 18, 2014
- Last updated
- Apr 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | RT004178 | PA | Primary |
Addresses
Primary practice location
2700 S Eagle Rd
Newtown, PA 18940-1556
Mailing address
2700 S Eagle Rd
Newtown, PA 18940-1556
Phone (215) 642-6930
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 |
|---|---|---|---|
| RT004178 | PA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397779200000",
"number": "1427478379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 S EAGLE RD",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401556",
"telephone_number": "215-642-6930",
"fax_number": "215-968-3014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 S EAGLE RD",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401556",
"telephone_number": "215-642-6930",
"fax_number": "215-968-3014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "KERRI",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-18",
"last_updated": "2014-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "PA",
"license": "RT004178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.