Healthcare Provider Details

I. General information

NPI: 1134035199
Provider Name (Legal Business Name): SOPHIE ROBERTS PT, DPT, CPRCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7990 SH 242
CONROE TX
77385
US

IV. Provider business mailing address

824 YALE ST APT C
HOUSTON TX
77007-1595
US

V. Phone/Fax

Practice location:
  • Phone: 936-270-3520
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1349099
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: