ANDREW S ROBERTS (DPT) – Physical Therapist, NPI 1104155829

ANDREW S ROBERTS (DPT) is a healthcare provider. based in Deer park, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 6093 (OR). The NPI Number for ANDREW S ROBERTS (DPT) is 1104155829

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW S ROBERTS (DPT)
NPI
1104155829
Phone
(843) 235-0200
Address
707 S PARK ST
Enumeration Date
8 December 2009
Last Update Date
15 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5092768811
Graduation Year
2009 (17 years ago)
PAC ID
7416086921
Group Practice PAC ID
6103716840
Professional Enrollment ID
I20110726000496
Address ID
WA990067025DE707XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:16State licenses:3Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for ANDREW S ROBERTS (DPT)

  • Park Street, Deer Lodge, Powell County, Montana, 59722, United States

    DEER PARK, WA 990067025

    Phone: (843) 235-0200

    Fax: (843) 235-0242

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110726000496IPhysical Therapist In Private PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes23123$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes22727$0
97530Therapy procedure using functional activities4513$0
97161Evaluation for physical therapy, typically 20 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 99006)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103716840View full group profile
NameSpecialtyState
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

What NPI should I save for ANDREW S ROBERTS (DPT)?
Save NPI 1104155829 if you need a stable reference for ANDREW S ROBERTS (DPT).
Does this profile mean ANDREW S ROBERTS (DPT) is currently active?
Yes — ANDREW S ROBERTS (DPT) appears active in the national provider directory.
What field does ANDREW S ROBERTS (DPT) work in?
You can think of ANDREW S ROBERTS (DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is ANDREW S ROBERTS (DPT)'s primary listing?
We display Deer Park, Washington because that is what the record indicates for ANDREW S ROBERTS (DPT).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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