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

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 identifiers 1

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

State licenses

Practice roles

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.

• Comprehensive Physical Therapy

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

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

  Physical Therapist

  NPD (past)
• Hiller and Hurt PC

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

  • 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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1159443",
            "state": "TX"
        }
    ],
    "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
• Trevor M Provencher, DPT, PT
• Leslie Citlalic Ramirez, LPC-A
• Anna Reid, MA, LPC
• Joshua Nathaniel Reyes
• Marcos Rubio
• Jenna Elise Sako, DMD
• Fred F. Salley, M.D.
• Erick David Samardak
• Daniel Lee Schmidt, D.O.

• All providers in Bandera, TX
• 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.