Individual provider Active NPI

Cheryl Roberts, DPT

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1760917421
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1598 Issued in WY
Practice address
3175 Saint Rose Pkwy Ste 331
Henderson, NV 89052-3508
Phone
(702) 474-7212
NPI assigned
May 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1598 WY Primary

Addresses

Primary practice location

3175 Saint Rose Pkwy Ste 331
Henderson, NV 89052-3508

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

639 W Coulter Ave
Powell, WY 82435-2527
Phone (307) 864-2146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170519001693 WY Practitioner - Physical Therapist in Private Practice 1557638632 Reassigns benefits to 1 organization
I20251028000396 NV Practitioner - Physical Therapist in Private Practice 1557638632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage RehabGroup PAC ID 4587577507, 11 clinicians
New Century Rehabilitation LLCGroup PAC ID 3274422647, 85 clinicians

Practice addresses (Care Compare)

1819 Sheridan Ave
Cody, WY 82414-3886
Phone (307) 587-9866

3175 Saint Rose Pkwy
Suite 331
Henderson, NV 89052-3508
Phone (702) 474-7212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1598WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Sep 23, 2025 Accepting new patients
New Century Rehabilitation, LLC CurrentSince Sep 23, 2025 Accepting new patients
Advantage Rehab Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Holistic Pain Management of Wyoming, LLC Past Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

3175 Saint Rose Pkwy
Ste 331
Henderson, NV 89052
Phone (702) 314-4604

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

1819 Sheridan Ave
Cody, WY 82414
Phone (307) 587-9866

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1760917421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 SAINT ROSE PKWY STE 331",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523508",
            "telephone_number": "702-474-7212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "639 W Coulter Ave",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "WY",
            "postal_code": "824352527",
            "country_code": "US",
            "telephone_number": "307-864-2146",
            "fax_number": "307-864-2857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CHERYL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "1598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.