Individual provider Active NPI

Miranda Roberts, PT, DPT

  • Physical Therapist
  • Columbus, OH
National Provider Identifier
1710581988
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT021264 Issued in OH
Practice address
5050 Palmetto St Ste B
Columbus, OH 43228-1987
Phone
(614) 897-0823
NPI assigned
Nov 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305213832 VA
Physical Therapist 225100000X PT021264 OH Primary

Addresses

Primary practice location

5050 Palmetto St Ste B
Columbus, OH 43228-1987

Mailing address

5050 Palmetto St Ste B
Columbus, OH 43228-1987
Phone (614) 897-0823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230601001124 VA Practitioner - Physical Therapist in Private Practice 2567829898 Reassigns benefits to 1 organization
I20240912003745 OH Practitioner - Physical Therapist in Private Practice 2567829898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Rehabilitation Redefined LLCGroup PAC ID 6406366236, 5 clinicians
Ohrh, LLCGroup PAC ID 5991942898, 154 clinicians

Practice addresses (Care Compare)

4041 N High St
Suite 100a
Columbus, OH 43214-3248
Phone (815) 901-1198

5050 Palmetto St
Columbus, OH 43228-1733
Phone (614) 897-0823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ohrh, LLC CurrentSince Jul 9, 2024 Accepting new patients
Rehabilitation Redefined, LLC CurrentSince Aug 21, 2025 Accepting new patients
Physiotherapy Associates, Inc. Physical Therapist CurrentSince Apr 17, 2023 Accepting new patients
Physiotherapy Associates Inc CurrentSince Apr 17, 2023 Accepting new patients
Ohrh, LLC Physical Therapist CurrentSince Jul 9, 2024 Accepting new patients
Ohrh, LLC Current Accepting new patients

Locations

4041 N High St
Ste 100A
Columbus, OH 43214
Phone (815) 901-1198

5050 Palmetto St
Ste B
Columbus, OH 43228
Phone (614) 897-0823

5050 Palmetto St
Columbus, OH 43228
Phone (614) 544-1951

6021 Cleveland Ave
Columbus, OH 43231
Phone (614) 224-1090

20925 Professional Plz
Ste 300
Ashburn, VA 20147
Phone (703) 544-7171

6160 Kempsville Cir
Ste 303A
Norfolk, VA 23502
Phone (757) 333-3360

1400 Fordham Dr
Virginia Beach, VA 23464
Phone (757) 361-3951

Organizations & group practices 6

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": "1606521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1710581988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 PALMETTO ST STE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281987",
            "telephone_number": "614-897-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 PALMETTO ST STE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281987",
            "telephone_number": "614-897-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MIRANDA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-28",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213832",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT021264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.