Mary Roberts, PT
Physical Therapist in Southfield, MI. Individual provider (NPI-1).
NPI number1124359153
StatusActive
Last updated in NPPESJan 14, 2010
Details
- NPI
- 1124359153
- Entity type
- Individual (NPI-1)
- Name
- Mary Roberts
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 14, 2010
- Last updated
- Jan 14, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501013665 | MI | Yes |
Other names
- Mary Pietsch (Former Name)
Practice location
23800 W 10 Mile RdSuite 193
Southfield, MI 48033-3176
Phone 248-827-1100
Mailing address
23800 W 10 Mile RdSuite 193
Southfield, MI 48033-3176
Phone 248-827-1100
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 253 Physical Therapist providers in Southfield · All 8,937 providers in Southfield
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