Mr. Scott Jonathan Roberts
Massage Therapist Physical Therapist - Orthopedic
3514 Mayland Ct
Richmond
, Virginia 23233-1421
Mr. Scott Jonathan Roberts
Massage Therapist Physical Therapist - Orthopedic
3514 Mayland Ct
Richmond
, Virginia 23233-1421
(804) 747-0043
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About
Features
Specialties
- Physical Therapist - Orthopedic
- Massage Therapist
Languages spoken
- English
Location
First Address
- Mr. Scott Jonathan Roberts
- 3514 Mayland Ct
- Richmond, VA
- Zip : 23233-1421
- Fax : (804) 747-0043
- Phone : (804) 747-0003
Second Address
- Mr. Scott Jonathan Roberts
- 3514 Mayland Ct
- Richmond, VA
- Zip : 23233-1421
- Fax : (804) 747-0043
- Phone : (804) 747-0003
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | 2305203258 | VA |
| N | 225700000X | Massage Therapist | 0019004823 | VA |
National Provider Identifier
| NPI | 1073547857 |
|---|---|
| Provider Name | Mr. Scott Jonathan Roberts |
| First Address | Richmond, VA 23233-1421 |
| Second Address | Richmond, VA 23233-1421 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2006 |
| Last Update Date | 07/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0708920 | UNITED HEALTHCARE (01) | VA |
| 150239 | ALLIANCE PPO (01) | VA |
| 192519 | ANTHEM BCBS (01) | VA |
| 201597792 | BEECH STREET CORPORATION (01) | VA |
| 201597792 | GREAT-WEST HEALTHCARE (01) | VA |
| 201597792 | HEALTH NET FEDERAL SERV (01) | VA |
| 201597792 | TRICARE-NORTH (01) | VA |
| 2132404 | M.D.IPA HEALTH PLAN (01) | VA |
| 2218247 | FIRST HEALTH (01) | VA |
| 283517 | SOUTHERN HEALTH SERVICES (01) | VA |
| 3695288 | AETNA (01) | VA |
| 7230417 | AETNA (01) | VA |
| 9028006 | PHCS (01) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.