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Deactivated NPI 1962197277 Deactivated / Inactive NPI Male Practitioner

Michael Shane Roberts , PTA

Physical Therapy Assistant • Suwanee, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Roberts has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 11, 2023
NPI Deactivation Date June 11, 2026
Total Practice Duration ~3 Years of Practice (2023 – 2026)

Professional Overview & Biography Verified Profile Summary

Michael Roberts, PTA was a registered Physical Therapy Assistant practicing in Suwanee, GA. Throughout an active medical career spanning 3 years, Michael Roberts provided care at the practice location at 2576 LAWRENCEVILLE SUWANEE RD until profile deactivation on 2026-06-11.

Practice Location & Contact Primary Location

Practice Address

2576 Lawrenceville Suwanee Rd

Suwanee, GA 300247290

Telephone 7709624043
Associated Practice Facility / Clinic
🏢 Surgipro, Inc. Facility NPI 1457663940

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapy Assistant in Suwanee, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Suwanee, GA (1146 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Jennifer Scibetta

Physical Therapy Assistant

NPI 1043715774
David Linbo , PT

Physical Therapist

NPI 1043920853

Physical Therapist

Cindy Chapman , PTA, ATC

Physical Therapy Assistant

NPI 1174847578

Physical Therapist Assistant, Certified Athletic Trainer

Hani Levy

Physical Therapist

NPI 1215402748
Kathleen Gildemeyer , PTA

Physical Therapy Assistant

NPI 1285879791

Physical Therapist Assistant

Brittany Fuller

Physical Therapist

NPI 1326562224

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 11, 2026

Record deactivated on June 11, 2026

NPI Profile Active April 11, 2023

NPI status registered as active in NPPES database

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Updated Practice Location April 11, 2023

Registered at 2576 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 300247290 (Tel: 7709624043)

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Updated Business Mailing Address April 11, 2023

Registered at 2576 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 300247290

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Provider Name / Credentials Updated April 11, 2023

Recorded as MICHAEL ROBERTS, PTA

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2023

Physical Therapy Assistant

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Initial NPI Registration & Enumeration April 11, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962197277
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2023
Last Update: April 11, 2023
Deactivation Date: June 11, 2026

Mailing Address

2576 Lawrenceville Suwanee Rd

Suwanee, GA 300247290

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.