KENNETH W. ROBERTS (NPI# 1942284021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942284021 |
| Entity Type | Individual |
| Full Name | KENNETH W. ROBERTS |
| Credential | P.T. |
| Practice Address |
511 Windsor Dr Stillwater OK 74074-6962 |
| Practice Telephone | 4057070900 |
| Practice Fax Number | 4057073363 |
| Mailing Telephone | 4057070900 |
| Mailing Fax Number | 4057073363 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2008-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
3091 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200069230A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678578 | Kenneth Andre Roberts II | Dietitian, Registered | 110 Mascoutah Ave, Belleville, IL 62220-3801 | 2019-09-18 |
| 1801359559 | Kenneth Wayne Roberts | Student in an Organized Health Care Education/Training Program | Aventura Hospital & Medical Center, 20900 Biscayne Blvd, Aventura, FL 33138 | 2019-04-10 |
| 1801157805 | Kenneth James Roberts Jr. | Massage Therapist | 9420 Towne Square Ave, Suite #3, Blue Ash, OH 45242-6922 | 2012-06-06 |
| 1124245006 | Kenneth Wayne Roberts | Dentist | 546 N Lafayette St, South Lyon, MI 48178-2000 | 2007-04-20 |
| 1194890848 | Kenneth C Roberts | Internal Medicine | 400 Veterans, Biloxy, MS 39531 | 2006-11-21 |
| 1598732521 | Kenneth E. Roberts | Family Medicine | 287 Healthwest Dr, Dothan, AL 36303-2031 | 2006-03-08 |
| 1285991620 | Kenneth Latroye Roberts | Counselor | 3435 W Shaw Ave, Ste. 101, Fresno, CA 93711-3234 | 2012-04-23 |
| 1740503556 | Kenneth Lewis Roberts | Counselor | 366 Prior Ave N, Saint Paul, MN 55104-5165 | 2010-03-08 |
| 1740329028 | Kenneth Eugene Roberts | Social Worker | 620 5th Avenue, Fairbanks, AK 99701 | 2007-02-05 |
| 1285748954 | Kenneth M. Roberts | Physician Assistant | 300 Clyde Morris Blvd, Suite C, Ormond Beach, FL 32174-5956 | 2006-08-18 |
| Street Address |
511 WINDSOR DR |
| City | STILLWATER |
| State | OK |
| Zip Code | 74074-6962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427032549 | Scott N. Stubbs | Orthopaedic Surgery | 511 Windsor Dr, Stillwater, OK 74074-6962 | 2005-12-01 |
| 1174121677 | Christen Nelson | Physician Assistant | 511 Windsor Dr, Stillwater, OK 74074-6962 | 2020-10-16 |
| 1225653579 | Hannah Herman | Physical Therapist | 511 Windsor Dr, Stillwater, OK 74074-6962 | 2020-06-12 |
| 1336617562 | Jasmine Braman | Physical Therapist | 511 Windsor Dr, Stillwater, OK 74074-6962 | 2018-11-06 |
| 1912448887 | Osu Center for Health Sciences | Clinic/Center | 511 Windsor Dr, Stillwater, OK 74074-6962 | 2017-03-13 |
| 1124569090 | Osu Center for Health Sciences | Clinic/Center | 511 Windsor Dr, Stillwater, OK 74074-6962 | 2017-03-13 |
| 1124426457 | Jason Beaver | Physician Assistant | 511 Windsor Dr, Stillwater, OK 74074-6962 | 2014-12-19 |
| 1114289782 | Megan Elizabeth Ripley | Physical Therapist | 511 Windsor Dr, Stillwater, OK 74074-6962 | 2012-06-11 |
| 1659631448 | Adam Huskerson | Family Medicine | 511 Windsor Dr, Stillwater, OK 74074-6962 | 2012-05-25 |
| 1891069514 | Karli Alin Thompson | Physician Assistant | 511 Windsor Dr, Stillwater, OK 74074-6962 | 2012-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
| 1366095861 | Kelsey Lyn Bigheart | Peer Specialist | 5421 S Deer Trail, Stillwater, OK 74074 | 2019-07-23 |
| 1881256691 | Shelly Lynn Green | Nurse Practitioner | 1321 W. 7th Street, Stillwater, OK 74074 | 2019-07-01 |
| 1811426273 | Judy Catlett | Case Manager/Care Coordinator | 800 E. 6th Str, Stillwater, OK 74074 | 2017-06-08 |
| 1518322296 | Abi Physical Therapy Services | Physical Therapist | 810 S. Walnut Street, Stillwater, OK 74074 | 2015-12-22 |
| 1366833451 | Connecting The Pieces | Case Management | 812 S Walnut, Stillwater, OK 74074 | 2015-02-10 |
| 1790122414 | Airie Flanagan | Doula | 2601 Gregory Ln, Stillwater, OK 74074 | 2013-06-04 |
| 1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
| 1144570565 | Nikkie Jo Dunnigan | Counselor | 2322 W 7th, Stillwater, OK 74074 | 2012-09-13 |
| 1487889952 | Lynn B. Roberts | General Practice | 1321 W 7th St, Stillwater Community Health, Stillwater, OK 74074 | 2009-05-27 |
| Find all providers in zip 74074 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960718 | Ryoki Aoki | Physical Therapist | 2270 N Perkins Rd # 245, Stillwater, OK 74075-3078 | 2020-07-23 |
| 1063930493 | Thomas Broback | Physical Therapist | 14382 60th St N, Stillwater, MN 55082-6311 | 2017-09-06 |
| 1114289782 | Megan Elizabeth Ripley | Physical Therapist | 511 Windsor Dr, Stillwater, OK 74074-6962 | 2012-06-11 |
| 1669748620 | Rhonda J Kimler | Physical Therapist | 1950 Curve Crest Blvd W Ste 100, Stillwater, MN 55082-6062 | 2012-03-23 |
| 1659355493 | Joe A. Ogle | Physical Therapist | 511 Windsor Dr, Stillwater, OK 74074-6962 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912510843 | Premier Physical Therapy LLC | Physical Therapist | 3333 W Hefner Rd Ste D, Oklahoma City, OK 73120-5060 | 2020-08-29 |
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1952927816 | Juliana Joy Lackey | Physical Therapist | 1211 N Shartel Ave Ste 801, Oklahoma City, OK 73103-2425 | 2020-06-17 |
| 1285258202 | Rachel Christine Carroll | Physical Therapist | 1876 Utica Sq Ste 1b, Tulsa, OK 74114-1452 | 2020-06-05 |
| 1205491776 | Thrive Physio and Performance, LLC | Physical Therapist | 4201 Ne 116th St, Oklahoma City, OK 73131-4413 | 2019-05-09 |
| 1265819221 | Kailey N. Limber | Physical Therapist | 3327 Nw 50th, Oklahoma City, OK 73112 | 2015-04-29 |
| 1457784712 | Christopher Martin Ritchie | Physical Therapist | 613 Hillcrest St, Muskogee, OK 74403-8589 | 2013-08-09 |
| 1629339718 | Kathy Sue Bonar | Physical Therapist | 3500 S Boulevard Ste A1, Edmond, OK 73013-5486 | 2012-06-05 |
| 1649549056 | Mainstream Physical Therapy L.L.C. | Physical Therapist | 30352 S Vfw Rd, Stigler, OK 74462-3606 | 2011-12-14 |
| 1316228380 | Rae Lynn Foster | Physical Therapist | 4812 S. 109th. E. Ave., Suite 300, Tulsa, OK 74146-5822 | 2011-09-06 |
| Find all providers with the same taxonomy | ||||
| City | STILLWATER |
| Zip Code | 74074 |
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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.