Individual provider Active NPI

Katherine Sloop Roberts, MSPT

  • Physical Therapist
  • Vancleave, MS
National Provider Identifier
1528056298
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4833 Issued in MS
Practice address
6300 E Lake Blvd Ste 101
Vancleave, MS 39565-6771
Phone
(228) 215-2240
Fax
(228) 215-2241
NPI assigned
Oct 7, 2005
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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 4833 MS Primary

Addresses

Primary practice location

6300 E Lake Blvd Ste 101
Vancleave, MS 39565-6771

Mailing address

6300 E Lake Blvd Ste 301
Vancleave, MS 39565-6771
Phone (228) 230-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260331003569 MS Practitioner - Physical Therapist in Private Practice 8224066030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3119 Shadow Wood Dr
Ocean Springs, MS 39564-5936

6300 E Lake Blvd
Suite 301
Vancleave, MS 39565-6771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4833MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bienville Therapy, LLC Physical Therapist CurrentSince Feb 23, 2026 Accepting new patients
Avante Physical Therapy Past Accepting new patients
Bienville Therapy, LLC Physical Therapist PastSince Feb 23, 2026 Accepting new patients

Locations

3615 Hospital St
#B
Pascagoula, MS 39581
Phone (228) 215-2260

6300 E Lake Blvd
Ste 101
Vancleave, MS 39565
Phone (228) 215-2240

6300 E Lake Blvd
Ste 301
Vancleave, MS 39565

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1528056298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 E LAKE BLVD STE 301",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395656771",
            "telephone_number": "228-230-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 E LAKE BLVD STE 101",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395656771",
            "telephone_number": "228-215-2240",
            "fax_number": "228-215-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KATHERINE",
        "middle_name": "SLOOP",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "4833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancleave, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.