Julia Roberts, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12080 Issued in MN

Practice address

3165 Fernbrook LN N
Plymouth, MN 55447-5320

Phone

(763) 710-4637

NPI assigned

Feb 19, 2021

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)

Enrolled

State licenses

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1932792074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 PIKE LAKE DR",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551122461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 FERNBROOK LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475320",
            "telephone_number": "763-710-4637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6050 Main St Apt 101",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "MN",
            "postal_code": "553734537",
            "country_code": "US",
            "telephone_number": "763-515-3088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JULIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River Ridge, LLC (River Ridge LLC Four Seasons Outpatient)
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• Andre Roberson
• Erica N. Roberson, M.D.
• Cody Gray Roberts, MD
• Ashley Robillard, L.AC.
• Steven B Robin, MD
• Holly Robinson, LICSW
• Samantha Robinson
• Stephen William Robinson Sr., DDS,MSD

• Physical Therapist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.