Roberta Babcock, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2129 Issued in SC

Practice address

30 Springcrest CT
Greenville, SC 29607-4034

Phone

(864) 528-5547

Fax

(864) 528-5411

NPI assigned

Mar 31, 2015

Last updated

Mar 31, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Roberta Duemling Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1699160333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SPRINGCREST CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074034",
            "telephone_number": "864-528-5547",
            "fax_number": "864-528-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SPRINGCREST CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074034",
            "telephone_number": "864-528-5547",
            "fax_number": "864-528-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "ROBERTA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "2129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERTA",
            "last_name": "DUEMLING",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Phyllis Kathleen Azzarito
• Michael Azzer, DMD
• B Giles, LLC
• Taylah Babb
• Michael Arthur Babcock, M.D.
• Joseph R Baber, DO
• Brooklyn Bonet Babincsak
• Roger Bachour, PT
• Back230 Vein & Body LLC (Dogwood Vein Institute)
• Farnel F Backer, M.D.

• Physical Therapy Assistant in Greenville, SC
• Providers in Greenville, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.