Larissa J Roberts, LAT, ATC, M.ED

Primary specialty

Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X

License

RT006573 Issued in PA

Practice address

410 Pellis Rd
Greensburg, PA 15601-4700

Phone

(814) 227-6720

NPI assigned

Jan 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1780158121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 MCGOUGH WAY",
            "city": "TRAFFORD",
            "state": "PA",
            "postal_code": "150851608",
            "telephone_number": "814-227-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PELLIS RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014700",
            "telephone_number": "814-227-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LARISSA",
        "middle_name": "J",
        "credential": "LAT, ATC, M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "PA",
            "license": "RT006573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Road Less Traveled Counseling & Consulting LLC
• Robert a Lowenstein MD PC
• Amy T Roberts, COTA/L
• Chera Roberts
• Faisal Roberts
• Maryann P. Roberts, LPC
• Brett W Robertson, MPT
• Brianna E Robertson, AUD
• Teresa Annette Roble
• Joseph David Roccaforte, M.D.

• Sports Medicine (Preventive Medicine) Physician in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Sports Medicine (Preventive Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.