Active NPI
Jill Roberts, PT
- Physical Therapist
- Rockwall, TX
National Provider Identifier
1447320643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1301 Summer Lee Dr
Rockwall, TX 75032-5452 - Phone
- (972) 771-8111
- Fax
- (972) 771-8103
- NPI assigned
- Nov 8, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1301 Summer Lee Dr
Rockwall, TX 75032-5452
Mailing address
1038 Majors Dr
Mesquite, TX 75149-5817
Phone (817) 781-9563
Other practice location 1
3600 W Emporium Cir
Mesquite, TX 75150-6508
Phone (972) 270-0094
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1140465 | Other | TX | LICENSE# |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deepak V Chavda MD PA | Past | Accepting new patients | |
| Texstar Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- North Richland Hills, TX
- NPI 1578659660
-
- Physical Therapy Clinic/Center
- Dallas, TX
- NPI 1043238009
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1447320643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1038 MAJORS DR",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751495817",
"telephone_number": "817-781-9563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 SUMMER LEE DR",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750325452",
"telephone_number": "972-771-8111",
"fax_number": "972-771-8103"
}
],
"practiceLocations": [
{
"address_1": "3600 W Emporium Cir",
"address_purpose": "LOCATION",
"city": "Mesquite",
"state": "TX",
"postal_code": "751506508",
"country_code": "US",
"telephone_number": "972-270-0094",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "JILL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "1140465",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.