Active NPI
Christine Roche, PTA
- Physical Therapy Assistant
- Baltimore, MD
National Provider Identifier
1003062191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A2997
- Practice address
- 707 N Broadway
Baltimore, MD 21205-1888 - Phone
- (443) 923-9289
- Fax
- (443) 923-9295
- NPI assigned
- Aug 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A2997 | MD | Primary |
Addresses
Primary practice location
707 N Broadway
Baltimore, MD 21205-1888
Mailing address
707 N Broadway
Baltimore, MD 21205-1888
Phone (443) 923-9289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2997 | MD | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Cerebral Palsy of Central MD Inc | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy.et1095.epichosted.com/FHIRProxy/KKI/api/FHIR/R4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Catonsville, MD
- NPI 1609038306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1003062191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 N BROADWAY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212051888",
"telephone_number": "443-923-9289",
"fax_number": "443-923-9295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 N BROADWAY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212051888",
"telephone_number": "443-923-9289",
"fax_number": "443-923-9295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHE",
"first_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-08",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "A2997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.