Active NPI
Steven Roberts, PT
- Physical Therapist
- Wappingers Falls, NY
National Provider Identifier
1851767263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 034481-1
- Practice address
- 45 Mina Dr
Wappingers Falls, NY 12590-4446 - Phone
- (845) 393-4506
- NPI assigned
- Aug 19, 2015
- Sex
- Male
- 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 | 034481-1 | NY | Primary |
Addresses
Primary practice location
45 Mina Dr
Wappingers Falls, NY 12590-4446
Mailing address
45 Mina Dr
Wappingers Falls, NY 12590-4446
Phone (914) 478-3700
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 |
|---|---|---|---|
| 034481-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1851767263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 MINA DR",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125904446",
"telephone_number": "914-478-3700",
"fax_number": "914-478-3541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 MINA DR",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125904446",
"telephone_number": "845-393-4506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "STEVEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-19",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "034481-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wappingers Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.