ROBERTS PHYSICAL THERAPY & MASSAGE (NPI# 1003007337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003007337 |
| Entity Type | Organization |
| Organization Name | ROBERTS PHYSICAL THERAPY & MASSAGE |
| Practice Address |
3514 Mayland Ct Richmond VA 23233-1421 |
| Practice Telephone | 8047470003 |
| Practice Fax Number | 8047470043 |
| Mailing Telephone | 8047470003 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2020-10-07 |
| Authorized Official Name | MR. SCOTT J ROBERTS (DIRECTOR) |
| Authorized Official Telephone | 8047470003 |
| Authorized Official Credential | PT, MPT, CMTPT, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 2305203258 | VA | Other Service Providers |
| N | 174H00000X | Health Educator | Other Service Providers | ||
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | Allopathic & Osteopathic Physicians | ||
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | Allopathic & Osteopathic Physicians | ||
| N | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | UNITED HEALTHCARE | 0702094 | 01 |
| VA | SOUTHERN HEALTH | 283517 | 01 |
| VA | ANTHEM | 192519 | 01 |
| VA | AETNA | 3695276 | 01 |
| VA | AETNA | 7126635 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | ROBERTS PHYSICAL THERAPY & MASSAGE INC. | 3514 Mayland Ct, Henrico, Virginia 23233 |
| Street Address |
3514 MAYLAND CT |
| City | RICHMOND |
| State | VA |
| Zip Code | 23233-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073547857 | Scott Jonathan Roberts | Specialist | 3514 Mayland Ct, Richmond, VA 23233-1421 | 2006-07-10 |
| 1730638206 | Shaunna Mayers | Physical Therapist | 3514 Mayland Ct, Richmond, VA 23233-1421 | 2016-09-26 |
| 1730530353 | Jacob Mowen | Physical Therapist | 3514 Mayland Ct, Richmond, VA 23233-1421 | 2016-06-24 |
| 1699176594 | Lindsay Carlson | Physical Therapist | 3514 Mayland Ct, Richmond, VA 23233-1421 | 2014-09-10 |
| 1891020525 | Elena Muden | Specialist | 3514 Mayland Ct, Richmond, VA 23233-1421 | 2009-10-14 |
| 1366634230 | Virginia Brooke Vanrensselaer | Specialist | 3514 Mayland Ct, Richmond, VA 23233-1421 | 2007-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813720 | David Rothman | Psychologist | 2000 Wilkes Drive, Richomd, VA 23233 | 2020-08-31 |
| 1770193286 | Penelope Kate Eissenberg | Occupational Therapist | Cedarfields, 2300 Cedarfield Parkway, Richmond, VA 23233 | 2020-08-10 |
| 1962038570 | Samantha Montgomery Warren | Nurse Practitioner | 3900 Westerre Parkway, Suite 300 Pmb# 308, Richmond, VA 23233 | 2020-03-15 |
| 1285269696 | Joyce Prayer Medical Transportion LLC | Transportation Broker | 2437 Bidgeview Ln, Henrico, VA 23233 | 2020-03-05 |
| 1821621228 | Marlon Reyes | Private Vehicle | 2500 Pump Rd, Richmond, VA 23233 | 2020-02-13 |
| 1659840924 | Brent Rusnak River Run Dental Greengate | Dentist | 3700 Haydenpark Lane, Medical Office J, Henrico, VA 23233 | 2018-11-16 |
| 1003309808 | Jeffrey Walker | Pharmacist | 3460 Pump Road, Henrico, VA 23233 | 2018-06-07 |
| 1346741667 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100, Richmond, VA 23233 | 2018-02-22 |
| 1215438544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100a, Richmond, VA 23233 | 2018-02-22 |
| 1295235026 | Zackery Firesheets | Physical Therapy Assistant | 2422 University Park Blvd., Richmond, VA 23233 | 2018-02-19 |
| Find all providers in zip 23233 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790272078 | Susan G Gall | Physical Therapist | 67267 S Main St, Richmond, MI 48062-1919 | 2018-04-22 |
| 1851805691 | Robert Tyler Dodson | Physical Therapist | 3514 Mayland Court Richmond, Virginia 23233, Richmond, VA 23233 | 2017-11-30 |
| 1801140801 | Gary Scott Sutton | Physical Therapist | 7650 E. Parham Rd. Mob II Suite 120, Rehabilitation Center At Parham Doctors' Hospital, Richmond, VA 23294-4367 | 2012-10-30 |
| 1548512627 | Chad Christopher Taylor | Physical Therapist | 11760 W Broad St, Richmond, VA 23233-1005 | 2012-10-12 |
| 1043821317 | Jennalyn Sujan Lew | Physical Therapist | 2970 Hilltop Mall Rd Ste 203, Richmond, CA 94806-1949 | 2020-08-11 |
| 1790325215 | Diane Dunn | Physical Therapist | 2401 W Leigh St, Richmond, VA 23220-1328 | 2020-01-13 |
| 1497394001 | Kala Robert | Physical Therapist | 4831 S Laburnum Ave, Richmond, VA 23231-2713 | 2019-12-30 |
| 1457863169 | Courtney Harrison Magdici | Physical Therapist | 5006 Atwood Dr Ste 2, Richmond, KY 40475-8179 | 2017-11-03 |
| 1639695323 | Morgan Toland | Physical Therapist | 1501 Maple Ave Ste 200, Richmond, VA 23226-2553 | 2017-08-15 |
| 1558894709 | Bryce Shank | Physical Therapist | 6627 W Broad St, Richmond, VA 23230-1732 | 2017-04-05 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.