Active NPI
Heather Roberts, PT
- Physical Therapist
- Woodstock, NY
National Provider Identifier
1770507469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 014531-1
- Practice address
- 2568 Route 212
Woodstock, NY 12498-2132 - Phone
- (845) 679-9767
- Fax
- (845) 679-2604
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 014531-1 | NY | Primary |
Addresses
Primary practice location
2568 Route 212
Woodstock, NY 12498-2132
Mailing address
PO Box 1235
Woodstock, NY 12498-8235
Phone (845) 679-9767
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10096311 | Other | NY | CDPHP PROVIDER NUMBER |
| 603426 | Other | NY | MVP PROVIDER NUMBER |
| 89756 | Other | NY | GHI PROVIDER NUMBER |
| Q16R71 | Other | NY | EMPIRE BC/BS |
| 02250402 | Medicaid | NY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014531 | NY | MD | Occupational Therapist |
| 014531-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1770507469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1235",
"city": "WOODSTOCK",
"state": "NY",
"postal_code": "124988235",
"telephone_number": "845-679-9767",
"fax_number": "845-679-2604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2568 ROUTE 212",
"city": "WOODSTOCK",
"state": "NY",
"postal_code": "124982132",
"telephone_number": "845-679-9767",
"fax_number": "845-679-2604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "HEATHER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "014531-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP PROVIDER NUMBER",
"identifier": "10096311",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP PROVIDER NUMBER",
"identifier": "603426",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PROVIDER NUMBER",
"identifier": "89756",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "Q16R71",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02250402",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.