Individual provider · Type 1 NPI

Jennifer Roberts, PTA

Physical Therapy Assistant · St. Clair Shores, MI

NPI number 1821766346 Active

Practice location

25311 Little Mack Ave Ste A
St. Clair Shores, MI 48081-3301

Call (586) 771-4900 Map

Fax (586) 771-4993

Mailing address

33900 Harper Ave Ste 104
Clinton Township, MI 48035-4258

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502003362 (MI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1821766346

Jennifer Roberts, PTA's National Provider Identifier is 1821766346, issued on Aug 31, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Nov 2, 2026.