Rebecca Jean Roberts, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0S5641 Issued in FL

Practice address

2650 Bahia Vista St
Suite 310
Sarasota, FL 34239-2634

Phone

(941) 365-6273

Fax

(941) 365-4269

NPI assigned

Oct 25, 2006

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1811072382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 BAHIA VISTA ST",
            "address_2": "SUITE 310",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392634",
            "telephone_number": "941-365-6273",
            "fax_number": "941-365-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 BAHIA VISTA ST",
            "address_2": "SUITE 310",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392634",
            "telephone_number": "941-365-6273",
            "fax_number": "941-365-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "REBECCA",
        "middle_name": "JEAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "0S5641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Peters
• Jonathan Roberti, PH.D.
• Claire Louisa Roberts, D.C.
• Jasmine Roberts, COTA
• Mary Ellethere Roberts, DO
• Timothy Dale Roberts, DC
• Bruce Allen Robertson, L.M.H.C.
• Drew Robertson, PA-C
• Jake Robertson, RMHCI
• Sharon Joanne Robertson, OTR/L

• Family Medicine Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.