Individual provider Active NPI

Donna Jo Roberson, PTA

  • Physical Therapy Assistant
  • Indianapolis, IN
National Provider Identifier
1598748733
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
06001293A Issued in IN
Practice address
5214 S East St
Building D Ste 1
Indianapolis, IN 46227-1917
Phone
(800) 486-4449
Fax
(317) 780-3745
NPI assigned
Nov 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 06001293A IN Primary
Physical Therapy Assistant 225200000X PTA A00215 KY

Addresses

Primary practice location

5214 S East St
Building D Ste 1
Indianapolis, IN 46227-1917

Mailing address

5214 S East St
Building D Ste 1
Indianapolis, IN 46227-1917
Phone (800) 486-4449

Other names 1

  • Miss Donna Jo Edge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
06001293AINMDPhysical Therapy Assistant
PTA A00215KYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1598748733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 S EAST ST",
            "address_2": "BUILDING D STE 1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271917",
            "telephone_number": "800-486-4449",
            "fax_number": "317-780-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 S EAST ST",
            "address_2": "BUILDING D STE 1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271917",
            "telephone_number": "800-486-4449",
            "fax_number": "317-780-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "DONNA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06001293A",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "PTA A00215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "EDGE",
            "middle_name": "JO",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.