Individual provider Active NPI

Nancy Illingworth Robator, PT

  • Physical Therapist
  • Bedford, NH
National Provider Identifier
1790906790
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
241 Issued in NH
Practice address
40 S River Rd
Unit 58
Bedford, NH 03110-6719
Phone
(603) 626-4205
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 241 NH Primary

Addresses

Primary practice location

40 S River Rd
Unit 58
Bedford, NH 03110-6719

Mailing address

12 Newbury LN
Bedford, NH 03110-4653
Phone (603) 472-2773

Other identifiers 1

IdentifierTypeStateIssuer
30392138MedicaidNH

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

LicenseStateTypeSpecialty
241NHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Valley Physical Therapy Physical Therapist PastSince Jun 1, 2002 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790906790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NEWBURY LN",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031104653",
            "telephone_number": "603-472-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S RIVER RD",
            "address_2": "UNIT 58",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106719",
            "telephone_number": "603-626-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBATOR",
        "first_name": "NANCY",
        "middle_name": "ILLINGWORTH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30392138",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.