Hunter Kristian Roberts, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3354 Issued in OK

Practice address

701 S Main St
Broken Arrow, OK 74012-5528

Phone

(918) 259-5784

Fax

(918) 251-0689

NPI assigned

Jul 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1568034767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27427 E 109TH ST S",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744293442",
            "telephone_number": "918-618-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S MAIN ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125528",
            "telephone_number": "918-259-5784",
            "fax_number": "918-251-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "HUNTER",
        "middle_name": "KRISTIAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669580502",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Roberson, LCSW
• Robert Hogg DO PLLC
• Amy Denise Roberts, OT
• Ashley Michelle Roberts
• Audrey Roberts
• Keiara Leelyn Roberts
• Laura Roberts
• Stefanie Roberts, CCC-SLP
• Sandra Robertson, P.T.
• Wendy Nicole Robertson, OTR/L

• Physical Therapy Assistant in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.