Jessica Marie Roberts, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

035525 Issued in NY

Practice address

100 Park St
Glens Falls, NY 12801-4413

Phone

(518) 926-2005

NPI assigned

Dec 7, 2012

Last updated

Jan 22, 2019By 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 2

Addresses

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": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1740525351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 3RD ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014229",
            "telephone_number": "518-321-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014413",
            "telephone_number": "518-926-2005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1702 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043419",
            "country_code": "US",
            "telephone_number": "910-323-3184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-07",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035525",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "010808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of New York Inc (Rite Aid Pharmacy 00760)
• Howard J Ritz, PA-C
• Rivoli Dental of Glens Falls PC
• Linda G. Rizzi, LCSWR, BCD
• Christian Peter Rizzuto, MD
• Owen Roberts, LMSW
• Danielle T Robillard, L.M.T.
• Michael Curran Robinson, MD
• Jennifer Rock
• Juan J Rodriguez

• Physical Therapist in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.