Active NPI
Cynthia Roberts, PT
- Physical Therapist
- Rockledge, FL
National Provider Identifier
1902596240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT39979
- Practice address
- 2316 S Fiske Blvd Ste a
Rockledge, FL 32955-3427 - Phone
- (321) 632-0081
- NPI assigned
- May 10, 2023
- Sex
- Female
- 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 | PT39979 | FL | Primary |
Addresses
Primary practice location
2316 S Fiske Blvd Ste a
Rockledge, FL 32955-3427
Mailing address
3538 Egret Dr
Melbourne, FL 32901-8148
Phone (912) 210-6387
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT39979 | FL | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1902596240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3538 EGRET DR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329018148",
"telephone_number": "912-210-6387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2316 S FISKE BLVD STE A",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329553427",
"telephone_number": "321-632-0081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "CYNTHIA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-10",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT39979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.