Mary Josephine Roeber, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Practice address

756 Verdi St
Woodstock, IL 60098-8022

Phone

(815) 337-1184

NPI assigned

Jun 22, 2007

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

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952507329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 VERDI ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600988022",
            "telephone_number": "815-337-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 VERDI ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600988022",
            "telephone_number": "815-337-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEBER",
        "first_name": "MARY",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rispens, PHARM.D.
• Soutsada T Rivera I, DPT
• Robert E. Haraden DDS, P.C.
• Elizabeth Caswell Rodgers, PHARM.D.
• Guadalupe Rodriguez
• Thomas G Rogers, CCC-SLP
• Roman J. Dykun, MD
• Joseph Ronda, LCSW
• Bibiano Ronquillo, MD
• Angela Root, M.S., CCC-SLP

• Pediatric Physical Therapist in Woodstock, IL
• Providers in Woodstock, IL by specialty
• Pediatric Physical Therapist in Illinois

• 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.