Elizabeth Roberts
Individual provider Active NPI Physical Therapy Assistant · Williamsport, MD
NPI 1669946711 · NPPES record last updated Jan 11, 2019
Key facts
- NPI
- 1669946711
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A2572 (MD)
- Practice address
- 16505 Virginia Ave
Williamsport, MD 21795-1321 - Phone
- (301) 582-5401
- NPI assigned
- Jan 11, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2572 | MD | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A2572 | MD | Yes |
Addresses
Primary practice location
16505 Virginia Ave
Williamsport, MD 21795-1321
Mailing address
1216 Pinecrest Ave
Hagerstown, MD 21740-7116
Phone (240) 520-1858
Other providers in Williamsport, MD
- Premise Health of Maryland Medical PC
- Evan Prusisz
- Samuel J. Rao
- Lisa Rees
- River Bend Wellness LLC
- Kristen Paige Schupp
- Karen Marie Scott
- Megan Nicole Shroyer
- Stephanie Renee Smith
- Stay Home Senior Services of Maryland, Inc.
All providers in Williamsport, MD · Physical Therapy Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.