MEDICARE: SARA ELIZABETH ROBERTS DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	P18710	NC

General Provider Information

NPI Number	:	1205074986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA ELIZABETH ROBERTS DPT

Provider Business Mailing Address
First Line	:	101 OAKVIEW COMMONS DR STE 104
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-5492
Country	:	US
Telephone Number	:	919-283-4946
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 OAKVIEW COMMONS DR STE 104
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-5492
Country	:	US
Telephone Number	:	919-283-4946
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2009
Last Update Date	:	06/03/2026

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