Niles M Roberts, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

48927-020 Issued in WI

Practice address

800 E. Chestnut St
Suite 3a, Physiatry Associates, Inc PS
Bellingham, WA 98225

Phone

(360) 647-8359

Fax

(360) 738-9838

NPI assigned

Oct 5, 2006

Last updated

Feb 28, 2014By the provider in NPPES

Sex

Male

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1568558765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E. CHESTNUT ST",
            "address_2": "SUITE 3A, PHYSIATRY ASSOCIATES, INC PS",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "414-964-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E. CHESTNUT ST",
            "address_2": "SUITE 3A, PHYSIATRY ASSOCIATES, INC PS",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98225",
            "telephone_number": "360-647-8359",
            "fax_number": "360-738-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "NILES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "48927-020",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD60076501",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8550923",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Lynn Roberts, L.M.P.
• Cheryl Ann Roberts, LMP
• Gail M. Roberts, RDH
• Linda Roberts, M.ED.
• Mark Roberts
• Rachael Nicole Roberts
• Tammy Patricia Roberts, RC
• William Gerald Roberts
• Charlie Robertson
• Erik Scott Robertson

• Physical Medicine & Rehabilitation Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Physical Medicine & Rehabilitation Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.