Kellyn Ashlee Robertson

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2140990 Issued in TX

Practice address

864 Central Blvd Ste 3200
Brownsville, TX 78520-8282

Phone

(956) 280-5491

Fax

(956) 350-9390

NPI assigned

Jan 21, 2021

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Progressive Therapy, LLC

  • Physical Therapist
  • Brownsville, TX
  • NPI 1023455078
  NPD (past)

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1912597105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13260",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785783260",
            "telephone_number": "903-521-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 CENTRAL BLVD STE 3200",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208282",
            "telephone_number": "956-280-5491",
            "fax_number": "956-350-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "KELLYN",
        "middle_name": "ASHLEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "2140990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lekach, M.D.P.a.
• Robert Powell , MD
• Roberto J Hernandez MD PLLC
• Roberto Ponce MD PA (Gi Associates of Brownsville)
• Roberto Zamora Dba la Plaza
• Amy Angelica Robinson
• Obdulia Estrella Robles Roque
• Alysha Robles
• Cynthia Robles, MD
• Luis Humberto Robles, M.D.

• Physical Medicine & Rehabilitation Physician in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.