Kristin Leigh Roth, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05009925A Issued in IN

Practice address

5515 W 38TH St
Indianapolis, IN 46254-2995

Phone

(317) 880-0282

Fax

(317) 880-0296

NPI assigned

May 24, 2024

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1003655374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 W 38TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542995",
            "telephone_number": "317-880-0282",
            "fax_number": "317-880-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 W 38TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542995",
            "telephone_number": "317-880-0282",
            "fax_number": "317-880-0296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6002 E 38th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462265614",
            "country_code": "US",
            "telephone_number": "317-880-0282",
            "fax_number": "317-880-0296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "KRISTIN",
        "middle_name": "LEIGH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009925A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth L Roth, MD
• Emily Ann Roth, M.A.
• Jason David Roth, PA
• Jennifer Michelle Roth, LMHCA
• Joshua David Roth, M.D.
• Kyle Martin Roth, M.D.
• Mark R Roth, PHD, HSPP
• Misty Roth, FNP-BC
• Nathan Veryl Roth, M.D.
• Trenton D Roth, M.D.

• All providers in Indianapolis, IN
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.