Jason L. Roberts, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0813 Issued in NC

Practice address

600 Fontana Blvd # D
Havelock, NC 28532-3104

Phone

(252) 444-5600

Fax

(252) 444-8966

NPI assigned

Aug 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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.

• Carolina Physical Therapy & Wellness Center, Inc.

  • Specialist
  • New Bern, NC
  • NPI 1609858265
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811900343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 HOGAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285609483",
            "telephone_number": "252-447-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FONTANA BLVD # D",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285323104",
            "telephone_number": "252-444-5600",
            "fax_number": "252-444-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JASON",
        "middle_name": "L.",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "0813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quicker Care Clinic PA
• Isabelle B Ragsdale, PH. D.
• Meredith Brooke Reagan
• Onaje George Rickerby, DMD
• River Neuse Group, LLC (Cherry Point Bay Nursing and Rehabilitation Center)
• Susan Williams Robertson
• Lacey Leeann Robinson, D.D.S.
• Ryan Rebecca Rote, LCSW
• Kristina D Rowe, MD
• Angela Stoltz Savitski, RDN, LDN

• Athletic Trainer in Havelock, NC
• Providers in Havelock, NC by specialty
• Athletic Trainer in North Carolina

• 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.