Individual provider Active NPI

Roberta Stephens, PT

  • Physical Therapist
  • Goodlettsville, TN
National Provider Identifier
1669897013
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0000001920 Issued in TN
Practice address
913 Conference Dr Ste 104
Goodlettsville, TN 37072-1991
Phone
(615) 604-5707
Fax
(615) 859-5577
NPI assigned
Feb 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0000001920 TN Primary

Addresses

Primary practice location

913 Conference Dr Ste 104
Goodlettsville, TN 37072-1991

Mailing address

302 Old Lebanon Dirt Rd
Hermitage, TN 37076-2386
Phone (615) 391-4545

Other practice location 1

1777 Gallatin Pike N
Madison, TN 37115-2122
Phone (615) 865-0360

Other practice location 2

302 Old Lebanon Dirt Rd Ste 100
Hermitage, TN 37076-2390
Phone (615) 391-4545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200414002943 TN Practitioner - Physical Therapist in Private Practice 0143650127 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1920TNMDOccupational Therapy Assistant
0000001920TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedics & Sports Medicine PLC Physical Therapist CurrentSince Apr 2, 2020 Accepting new patients
Nashville Bone and Joint PLLC CurrentSince Mar 1, 2024 Accepting new patients
Premier Orthopaedics & Sports Medicine, PLC CurrentSince Apr 2, 2020 Accepting new patients
Saint Thomas West Hospital Lab Past Accepting new patients
Saint Thomas West Hospital Past Accepting new patients

Locations

353 New Shackle Island Rd
Ste 141C
Hendersonvlle, TN 37075
Phone (615) 826-3100

302 Old Lebanon Dirt Rd
Ste 200
Hermitage, TN 37076
Phone (615) 467-4633

302 Old Lebanon Dirt Rd
Ste 100
Hermitage, TN 37076

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

2400 Patterson St
Ste 300
Nashville, TN 37203
Phone (615) 342-2600

3443 Dickerson Pike
Ste 190
Nashville, TN 37207
Phone (615) 301-8269

394 Harding Pl
Ste 200
Nashville, TN 37211
Phone (615) 834-4482

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1669897013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 OLD LEBANON DIRT RD",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762386",
            "telephone_number": "615-391-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 CONFERENCE DR STE 104",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721991",
            "telephone_number": "615-604-5707",
            "fax_number": "615-859-5577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1777 Gallatin Pike N",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "TN",
            "postal_code": "371152122",
            "country_code": "US",
            "telephone_number": "615-865-0360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 Old Lebanon Dirt Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "370762390",
            "country_code": "US",
            "telephone_number": "615-391-4545",
            "fax_number": "615-391-4546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "ROBERTA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "0000001920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.