National Provider Identifier
Mark Douglas Roberts, PT
Mark Douglas Roberts, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Geneseo, NY and a listed phone number of (585) 243-9150.
Profile Overview
- NPI
- 1134179211
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 11, 2006
- Last Updated
- March 31, 2023
Practice Location
- 4 E South St
- Geneseo, NY 14454-1362
Phone: (585) 243-9150
Specialties
- Physical Therapist (225100000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1134179211
- Entity Type
- Individual
- Last Name
- Roberts
- First Name
- Mark
- Middle Name
- Douglas
- Name Prefix
- Mr.
- Credential
- PT
- Mailing Street Address
- 4 E South St
- Mailing City
- Geneseo
- Mailing State
- NY
- Mailing ZIP Code
- 14454-1362
- Mailing Country
- US
- Mailing Phone
- (585) 243-9150
- Mailing Fax
- (585) 243-4814
- Practice Street Address
- 4 E South St
- Practice City
- Geneseo
- Practice State
- NY
- Practice ZIP Code
- 14454-1362
- Practice Country
- US
- Practice Phone
- (585) 243-9150
- Practice Fax
- (585) 243-4814
- Enumeration Date
- May 11, 2006
- Last Updated
- March 31, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 31, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Physical Therapist (225100000X)