Charlotte Roberson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-01436 Issued in KS

Practice address

1503 Ohio St
Leavenworth, KS 66048-2932

Phone

(615) 896-6400

NPI assigned

Jun 8, 2007

Sex

Female

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

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902009558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N 12TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481203",
            "telephone_number": "913-682-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 OHIO ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660482932",
            "telephone_number": "615-896-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "CHARLOTTE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-01436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Ringle
• Cinda Kay Ritchie, GNP-BC
• Tiffany Rivera
• Riverside Resources, Inc.
• Riverside Resources, Inc.
• Brooke Ashley Roberts
• Logan Roberts
• Stefanie Roberts, RBT
• Robinson T Kiser DMD LLC
• Brionna Robinson

• Physical Therapy Assistant in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Physical Therapy Assistant in Kansas

• 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.