Mikayla Grace Register Roberts, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10698 Issued in SC

Practice address

14 Littlejohn Glen CT
Greenville, SC 29615-5791

Phone

(864) 288-2998

Fax

(864) 288-3522

NPI assigned

Jun 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mikayla Grace Register Former name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Physical Therapy of the Upstate LLCGroup PAC ID 7719163047, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Premier Physical Therapy of the Upstate LLC

  • Physical Therapist
  • Greenville, SC
  • NPI 1720148943
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1487220133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LITTLEJOHN GLEN CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155791",
            "telephone_number": "864-288-2998",
            "fax_number": "864-288-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 LITTLEJOHN GLEN CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155791",
            "telephone_number": "864-288-2998",
            "fax_number": "864-288-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MIKAYLA",
        "middle_name": "GRACE REGISTER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKAYLA",
            "last_name": "REGISTER",
            "middle_name": "GRACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Graham Roberts, MD
• Judy L Roberts, CRNA
• Kerri Hogan Roberts, AADC
• Marlana Roberts, PHARMD
• Matthew Heard Roberts, MD
• Sabrina Roberts
• Sarah Mackenzie Roberts, MS CCC-SLP
• William Walton Roberts, M.D.
• Sonya Marie Robertson-Jones, P.T.
• Karen Marie Robertson, APRN

• Physical Therapist in Greenville, SC
• Providers in Greenville, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.

Verify at the official NPI Registry.