MEDICARE: CHERYL 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	1598	WY

General Provider Information

NPI Number	:	1760917421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL ROBERTS DPT

Provider Business Mailing Address
First Line	:	2001 BUTTERFIELD RD STE 1600
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-1211
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3175 SAINT ROSE PKWY STE 331
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-3508
Country	:	US
Telephone Number	:	702-474-7212
Fax Number	:

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

Provider Enumeration Date	:	05/01/2017
Last Update Date	:	10/06/2025

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