Individual provider Active NPI

Linda K S Roberson, MPT

  • Physical Therapist
  • Wilson, NC
National Provider Identifier
1912038209
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P1450 Issued in NC
Practice address
3200 Nash St N
Wilson, NC 27896-1231
Phone
(252) 243-6784
Fax
(252) 243-6782
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P1450 NC Primary

Addresses

Primary practice location

3200 Nash St N
Wilson, NC 27896-1231

Mailing address

3200 Nash St N
Wilson, NC 27896-1231
Phone (252) 243-6784

Other identifiers 3

IdentifierTypeStateIssuer
0791YOtherNCBCBS
187209OtherMEDCOST
7590420OtherNCAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051107001088 NC Practitioner - Physical Therapist in Private Practice 1658399738 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P1450NCMDPhysical Therapist
1450NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Aug 19, 2019 Accepting new patients
Manual Physical Therapy, Inc CurrentSince Aug 12, 2025 Accepting new patients
Northern Carolina Orthopaedics, PLLC Past Accepting new patients

Locations

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

171 NC Highway 125
Roanoke Rapids, NC 27870
Phone (252) 537-5631

147 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-6784

2906 N Main St
Tarboro, NC 27886
Phone (252) 443-0400

3200 Nash St N
Wilson, NC 27896
Phone (252) 243-6784

Interoperability endpoints

  • Direct secure messaging: linda.roberson.1@6545.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1912038209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961231",
            "telephone_number": "252-243-6784",
            "fax_number": "252-243-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961231",
            "telephone_number": "252-243-6784",
            "fax_number": "252-243-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "LINDA",
        "middle_name": "K S",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P1450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0791Y",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "187209",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7590420",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.