Active NPI
Austin Lee Roberts, DPT
- Orthopedic Physical Therapist
- Yakima, WA
National Provider Identifier
1487454773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT70047573
- Practice address
- 2505 Racquet LN
Yakima, WA 98902-6114 - Phone
- (509) 453-7325
- NPI assigned
- Mar 15, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT70047573 | WA | Primary |
| Sports Physical Therapist | 2251S0007X | 1322254 | TX |
Addresses
Primary practice location
2505 Racquet LN
Yakima, WA 98902-6114
Mailing address
2505 Racquet LN
Yakima, WA 98902-6114
Phone (509) 453-7325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2505 Racquet LN
Yakima, WA 98902-6114
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1322254 | TX | MD | Sports Physical Therapist |
| PT70047573 | WA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Performance Sports and Spine | Current | Accepting new patients | |
| RPM Rehab, Inc | Sports | Past | Accepting new patients |
Locations
2505 Racquet Ln
Yakima, WA 98902
Phone (509) 453-7325
3904 Terrace Heights Dr
Ste A
Yakima, WA 98901
Phone (509) 453-7325
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.
-
- Physical Therapist
- Yakima, WA
- NPI 1134192685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1487454773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 RACQUET LN",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989026114",
"telephone_number": "509-453-7325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 RACQUET LN",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989026114",
"telephone_number": "509-453-7325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "AUSTIN",
"middle_name": "LEE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-15",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WA",
"license": "PT70047573",
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "TX",
"license": "1322254",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.