John Houston Robertson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT7693 Issued in MS

Practice address

4500 Lakeland Dr
Flowood, MS 39232-9583

Phone

(769) 251-1166

Fax

(769) 251-1608

NPI assigned

Mar 26, 2024

Last updated

Apr 7, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 5 Star Performance Center, LLC

  • Physical Therapy Clinic/Center
  • Flowood, MS
  • NPI 1689150054

  Physical Therapist

  NPD

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712448000000",
    "number": "1619727047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329583",
            "telephone_number": "769-251-1166",
            "fax_number": "769-251-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329583",
            "telephone_number": "769-251-1166",
            "fax_number": "769-251-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JOHN",
        "middle_name": "HOUSTON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-04-07",
        "certification_date": "2024-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT7693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Brooke Roach, PMHNP-BC
• Kenny K Robbins, MD
• Lauren Elizabeth Roberts, DPT
• Lindsey Roberts, FNP
• Ronald Brent Roberts, MD
• Leigh Robertson, PT
• Kerry Robinson
• Tammy L Robinson, FNP-C
• Jenny Lynn Rogers Dearman, MSN, APRN, FNP-BC
• Rogers Hearing Healthcare, Inc (Audibel Hearing Healthcare)

• Physical Therapist in Flowood, MS
• Providers in Flowood, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; 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.