Active NPI
Jennifer Sue Roberts, P.T.
- Orthopedic Physical Therapist
- Tamarac, FL
National Provider Identifier
1730322959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT0016563
- Practice address
- 7447 N University Dr
Tamarac, FL 33321-2970 - Phone
- (954) 720-1530
- NPI assigned
- Apr 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT0016563 | FL | Primary |
Addresses
Primary practice location
7447 N University Dr
Tamarac, FL 33321-2970
Mailing address
363 NW 158TH Ave
Pembroke Pines, FL 33028-1587
Phone (954) 450-8715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0016563 | FL | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283212800000",
"number": "1730322959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 NW 158TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281587",
"telephone_number": "954-450-8715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7447 N UNIVERSITY DR",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212970",
"telephone_number": "954-720-1530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "JENNIFER",
"middle_name": "SUE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-17",
"last_updated": "2010-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT0016563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.