Nina Grace Roloff, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT134202 Issued in TX

Practice address

7604 Crescent Lake CT
Fort Worth, TX 76137-4123

Phone

(817) 458-6719

NPI assigned

Nov 3, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eliteortho Bodywork LLC

  • Massage Therapist
  • Azle, TX
  • NPI 1720873797
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1003571084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7604 CRESCENT LAKE CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374123",
            "telephone_number": "817-458-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7604 CRESCENT LAKE CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374123",
            "telephone_number": "817-458-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLOFF",
        "first_name": "NINA",
        "middle_name": "GRACE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT134202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Rojas, R.N.
• Rokel LLC
• Kelly Rokus
• Cartavia Rolla
• Rebecca Rollins, SLP
• Claire Romaine, MD, MPH
• Laura Danielle Romano, D.O
• Ashley Romans
• Jerry Romans
• Maria Delaluz Romero, M.F.T.

• Massage Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.