Individual provider Active NPI

Heidi Lee Roberts, DPT

  • Physical Therapist
  • White Salmon, WA
National Provider Identifier
1548433717
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00010695 Issued in WA
Practice address
253 Rhine Village Drive
White Salmon, WA 98672
Phone
(509) 493-5119
Fax
(509) 493-2435
NPI assigned
Apr 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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 PT00010695 WA Primary

Addresses

Primary practice location

253 Rhine Village Drive
White Salmon, WA 98672

Mailing address

PO Box 99
253 Rhine Village Drive
White Salmon, WA 98672
Phone (509) 493-5119

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090827000442 OR Practitioner - Physical Therapist in Private Practice 3577634047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapeutic Associates IncGroup PAC ID 0042116279, 319 clinicians

Practice addresses (Care Compare)

61615 Athletic Club Dr
Bend, OR 97702-3247
Phone (541) 382-7890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00010695WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Associates Inc Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Therapeutic Associates Inc Physical Therapist Current Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Grapevine Womens Health and Gynecology, LLC PastSince Sep 3, 2013 Accepting new patients

Locations

16315 SW Barrows Rd
Ste 205
Beaverton, OR 97007
Phone (503) 521-0500

61615 Athletic Club Dr
Bend, OR 97702
Phone (541) 382-7890

2200 NE Neff Rd
Ste 202
Bend, OR 97701
Phone (541) 388-7738

2911 Tennyson Ave
Ste 204
Eugene, OR 97408
Phone (541) 515-6194

702 SW Ramsey Ave
Ste 220
Grants Pass, OR 97527
Phone (541) 479-0765

5880 NE Cornell Rd
Ste C
Hillsboro, OR 97124
Phone (503) 844-9294

5955 Shoreview Ln N
Ste 100
Keizer, OR 97303
Phone (503) 463-4221

10215 SW Parkway
Ste D
Portland, OR 97225
Phone (503) 292-3583

1307 NE 102nd Ave
Ste G
Portland, OR 97220
Phone (503) 253-0924

8028 NE Glisan St
Ste B
Portland, OR 97213
Phone (503) 253-0924

2040 NW Newcastle St
Roseburg, OR 97471
Phone (541) 673-1808

58147 Columbia River Hwy
Ste A
Saint Helens, OR 97051
Phone (503) 397-1914

20055 SW Pacific Hwy
Ste 110
Sherwood, OR 97140
Phone (503) 625-1691

16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153

29100 SW Town Center Loop W
Ste 190
Wilsonville, OR 97070
Phone (503) 570-7600

Interoperability endpoints

  • Direct secure messaging: heidi.roberts.1@31414.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7230/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1548433717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "address_2": "253 RHINE VILLAGE DRIVE",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "98672",
            "telephone_number": "509-493-5119",
            "fax_number": "509-493-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 RHINE VILLAGE DRIVE",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "98672",
            "telephone_number": "509-493-5119",
            "fax_number": "509-493-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "HEIDI",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Salmon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.