Provider Demographics
NPI:1881036598
Name:GATLIN, ROBERTA LYNN (PT, DSCPT, PCS)
Entity type:Individual
Prefix:DR
First Name:ROBERTA
Middle Name:LYNN
Last Name:GATLIN
Suffix:
Gender:F
Credentials:PT, DSCPT, PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:VA
Mailing Address - Zip Code:24354-4117
Mailing Address - Country:US
Mailing Address - Phone:276-783-7529
Mailing Address - Fax:276-783-7555
Practice Address - Street 1:927 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:VA
Practice Address - Zip Code:24354-4117
Practice Address - Country:US
Practice Address - Phone:276-783-7529
Practice Address - Fax:276-783-7555
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCP044148T2251P0200X
VA23052114592251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3133295OtherBCBS
TN0446645Medicaid
TN446645Medicare PIN