Roxanne Roberts, DPT
Individual provider Active NPI Physical Therapist · Abilene, KS
NPI 1619356342 · NPPES record last updated May 27, 2015
Key facts
- NPI
- 1619356342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- T04199 (KS)
- Practice address
- 103 NW 15TH St
Abilene, KS 67410-1547 - Phone
- (785) 263-3646
- Fax
- (785) 263-3689
- NPI assigned
- May 27, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
204 S Santa Fe Ave
Suite 7
Salina, KS 67401-3994
Phone (785) 236-8344
311 Houston St
Suite E
Manhattan, KS 66502-6171
Phone (785) 236-8344
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150624002706 | KS | Practitioner - Physical Therapist in Private Practice | 9638480106 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T04199 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodlife Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
Locations
311 Houston St
Ste E
Manhattan, KS 66502
Phone (785) 236-8344
204 S Santa Fe Ave
Ste 7
Salina, KS 67401
Phone (785) 236-8344
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | T04199 | KS | Yes |
Addresses
Primary practice location
103 NW 15TH St
Abilene, KS 67410-1547
Mailing address
103 NW 15TH St
Abilene, KS 67410-1547
Phone (785) 263-3646
Other providers in Abilene, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.