Healthcare Provider Details

I. General information

NPI: 1679498794
Provider Name (Legal Business Name): AMY ROBY PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 S 4TH AVE
SIDNEY OH
45365-9029
US

IV. Provider business mailing address

211 DIAMOND DR
ANNA OH
45302-8501
US

V. Phone/Fax

Practice location:
  • Phone: 937-497-2200
  • Fax:
Mailing address:
  • Phone: 618-967-2452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number013236
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: