Jody S. Robeson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1159443 Issued in TX

Practice address

3456 State Highway 16 South
Bandera, TX 78003

Phone

(830) 796-3447

Fax

(830) 796-3685

NPI assigned

Jun 9, 2006

Last updated

Jun 12, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jody L. Shanks Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Physical Therapy

  • Physical Therapist
  • Bandera, TX
  • NPI 1215037411
  NPD (past)
• First Colony Rehab, LLC

  dba Tideway Physical Therapy

  • Physical Therapy Clinic/Center
  • Galveston, TX
  • NPI 1720028459

  Physical Therapist

  NPD (past)
• Hiller and Hurt PC

  dba Physical Therapy Services

  • Physical Therapist
  • Galveston, TX
  • NPI 1407940349
  NPD (past)
• Sid Peterson Memorial Hospital

  dba Peterson Community Care Clinic RHC

  • Rural Health Clinic/Center
  • Kerrville, TX
  • NPI 1376129296
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1508807967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2805",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "780032805",
            "telephone_number": "830-796-3447",
            "fax_number": "830-796-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 STATE HIGHWAY 16 SOUTH",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "78003",
            "telephone_number": "830-796-3447",
            "fax_number": "830-796-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBESON",
        "first_name": "JODY",
        "middle_name": "S.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1159443",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1159443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "SHANKS",
            "middle_name": "L.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• PHCC-Bandera Rehabilitation and Health Care Center, LLC (Bandera Adult Day Care Center)
• Trevor M Provencher, DPT, PT
• Leslie Citlalic Ramirez, LPC-A
• Anna Reid, MA, LPC
• Joshua Nathaniel Reyes, APRN, FNP-C
• Marcos Rubio
• Jenna Elise Sako, DMD
• Fred F. Salley, M.D.
• Erick David Samardak
• Daniel Lee Schmidt, D.O.

• Physical Therapist in Bandera, TX
• Providers in Bandera, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.