Kelli Marie Roberts, LMP, COTA

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00024605 Issued in WA

Practice address

9617 7TH Ave SE
Everett, WA 98208-3710

Phone

(425) 513-8509

NPI assigned

Aug 17, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Lifeplus Health Centers, PS

  • Chiropractor
  • Lynnwood, WA
  • NPI 1669648929

  Massage Therapist

  NPD (past)
• Stephanie Greenall

  • Massage Therapist
  • Lynnwood, WA
  • NPI 1063592616
  NPD (past)

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1972735496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9617 7TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083710",
            "telephone_number": "425-513-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9617 7TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083710",
            "telephone_number": "425-513-8509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6501 196th St SW",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980365980",
            "country_code": "US",
            "telephone_number": "425-775-2288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KELLI",
        "middle_name": "MARIE",
        "credential": "LMP, COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-17",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC60298983",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Rose Roberts
• Hollie Roberts
• Joseph Garrett Roberts, CO61248384
• Julie Elaine Roberts, L.M.P.
• Karie Marie Roberts, MA
• Lisa Roberts
• Lloyd Andrew Roberts, MD
• Morgan Roberts, PTA
• Chernese G Robertson-Abrudan, M.S
• Brian Alexander Robertson, BA,AAC

• Massage Therapist in Everett, WA
• Providers in Everett, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.