Individual provider Active NPI

Bernadette L Roberts, MPT

  • Physical Therapist
  • Edmonds, WA
National Provider Identifier
1497991376
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00008583 Issued in WA
Practice address
8500-200TH St SW
Maplewood Center OT/PT
Edmonds, WA 98026-6627
Phone
(425) 431-3052
Fax
(425) 431-7511
NPI assigned
Dec 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00008583 WA Primary

Addresses

Primary practice location

8500-200TH St SW
Maplewood Center OT/PT
Edmonds, WA 98026-6627

Mailing address

8500-200TH St SW
Edmonds School District Maplewood Center
Edmonds, WA 98026-6627
Phone (425) 431-3052

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

State licenses

LicenseStateTypeSpecialty
PT00008583WAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1497991376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500-200TH ST SW",
            "address_2": "EDMONDS SCHOOL DISTRICT MAPLEWOOD CENTER",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980266627",
            "telephone_number": "425-431-3052",
            "fax_number": "425-431-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500-200TH ST SW",
            "address_2": "MAPLEWOOD CENTER OT/PT",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980266627",
            "telephone_number": "425-431-3052",
            "fax_number": "425-431-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "BERNADETTE",
        "middle_name": "L",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-26",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.