Active NPIIndividual providerSole proprietor

Mrs. Kelly Roach, PTA

Physical Therapy Assistant in Greenville, Rhode Island

NPI Number1255540167
Practice location
735 Putnam Pike, Greenville, RI 02828-1435
Fax
—
Last updated
July 8, 2007

Kelly Roach is a Physical Therapy Assistant based in Greenville, RI. Kelly Roach practices in Greenville, RI and has the professional credentials of PTA. The NPI Number for Kelly Roach is 1255540167 and holds a License No. 00533 (RI). The current practice location address for Kelly Roach is 735 Putnam Pike, Greenville, RI 02828-1435 and can be reached out via phone at 401-949-1200.

Provider Profile Details

NPI Number
1255540167
Provider Name
Kelly Roach
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
735 Putnam Pike, Greenville, RI 02828-1435
Phone Number
401-949-1200
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
May 21, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
735 Putnam Pike
Greenville, RI 02828-1435
Zip
02828-1435
Phone Number
401-949-1200
Greenville, RI 02828Get directions →

Provider Business Mailing Address Details

Address
11 Goshen RD
Moosup, CT 06354-2010
City
Moosup
State
CT
Zip
06354-2010

License Information

License Number
00533
License State
RI
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kelly Roach, PTA?

The NPI number of Mrs. Kelly Roach, PTA is 1255540167. It was assigned on May 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kelly Roach, PTA?

Mrs. Kelly Roach, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in RI under license number 00533.

Where does Mrs. Kelly Roach, PTA practice?

The practice location is 735 Putnam Pike, Greenville, RI 02828-1435. The office can be reached at 401-949-1200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255540167 directly on the NPPES registry website.

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