Active NPI
Robert Roberts, PT
- Physical Therapist
- Louisville, KY
National Provider Identifier
1649260456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 002496
- Practice address
- 225 Abraham Flexner Way
Suite 650
Louisville, KY 40202-1846 - Phone
- (502) 561-4263
- Fax
- (502) 561-4221
- NPI assigned
- Oct 24, 2005
- Last updated
- Sep 27, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 002496 | KY | Primary |
| Physical Therapist | 225100000X | 05007056A | IN |
Addresses
Primary practice location
225 Abraham Flexner Way
Suite 650
Louisville, KY 40202-1846
Mailing address
PO Box 740041
Dept 6150
Louisville, KY 40201-7441
Phone (502) 561-4263
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05007056A | IN | MD | Physical Therapist |
| 002496 | KY | MD | Physical Therapist |
| 2496 | KY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Group, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Louisville, KY
- NPI 1871620104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1649260456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 740041",
"address_2": "DEPT 6150",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402017441",
"telephone_number": "502-561-4263",
"fax_number": "502-561-4221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 ABRAHAM FLEXNER WAY",
"address_2": "SUITE 650",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021846",
"telephone_number": "502-561-4263",
"fax_number": "502-561-4221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "ROBERT",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "002496",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05007056A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.