Active NPI
Karin Sotia Roebke, DC
- Chiropractor
- Clinton Corners, NY
National Provider Identifier
1447311469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X005272
- Practice address
- 391 Clinton Corners Rd
Clinton Corners, NY 12514 - Phone
- (845) 266-4160
- Fax
- (845) 266-4160
- NPI assigned
- Dec 13, 2006
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X005272 | NY | Primary |
Addresses
Primary practice location
391 Clinton Corners Rd
Clinton Corners, NY 12514
Mailing address
391 Clinton Corners Rd
Clinton Corners, NY 12514
Phone (845) 266-4160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120307000008 | NY | Practitioner - Chiropractic | 0648439992 | Practice locations: Clinton Corners, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1987
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
391 Clinton Corners Rd
Clinton Corners, NY 12514-2011
Phone (845) 266-4160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X005272 | NY | MD | Chiropractor |
| 005272 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447311469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 CLINTON CORNERS RD",
"city": "CLINTON CORNERS",
"state": "NY",
"postal_code": "12514",
"telephone_number": "845-266-4160",
"fax_number": "845-266-4160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 CLINTON CORNERS RD",
"city": "CLINTON CORNERS",
"state": "NY",
"postal_code": "12514",
"telephone_number": "845-266-4160",
"fax_number": "845-266-4160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEBKE",
"first_name": "KARIN",
"middle_name": "SOTIA",
"name_prefix": "Ms.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X005272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Corners, NY
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.