Active NPI
Katherine Sloop Roberts, MSPT
- Physical Therapist
- Vancleave, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4833
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4833 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bienville Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Avante Physical Therapy | Past | Accepting new patients | |
| Bienville Therapy, LLC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Vancleave, MS
- NPI 1720844392
-
- Physical Therapist
- Gulfport, MS
- NPI 1477319051
-
- Orthopedic Physical Therapist
- Cary, NC
- NPI 1376522540
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.