Roberto Carlos Medina Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-015126 Issued in AZ

Practice address

6011 N Oracle Rd Ste 151
Tucson, AZ 85704-5309

Phone

(520) 561-0101

NPI assigned

Aug 7, 2026

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)

Not enrolled

Practice roles

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.

• Physio Shop Tucson LLC

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1164241816
  NPD (past)
• The Physio Shop LLC

  • Physical Therapy Clinic/Center
  • Flagstaff, AZ
  • NPI 1134524234
  NPD (past)

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

{
    "created_epoch": "1786060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1689598971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W RIVER RD UNIT 2",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857042520",
            "telephone_number": "559-472-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 N ORACLE RD STE 151",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045309",
            "telephone_number": "520-561-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ROBERTO",
        "middle_name": "CARLOS",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-07",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "PTA-015126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Resource Imaging LLC
• Medical Services of Southern Arizona
• Medical Transportation Company of Tucson, LLC
• Medifast Tucson Com Incorporated
• Jessica Angelica Medina
• John C Medlen, MD
• Sue M Medlen, NP
• Meggan Anne Medley, D.C., PMHNP
• Shawn Medley, D.C.
• Leeaat Mednick, D.D.S.

• Physical Therapy Assistant in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.