Organization Active NPI

Roark and Roark Inc.

  • Speech-Language Pathologist
  • Beckley, WV
National Provider Identifier
1033546866
Registry record updated Oct 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-1132 Issued in WV
Legal business name
ROARK AND ROARK INC.
Practice address
922B S Eisenhower Dr
Beckley, WV 25801-6324
Phone
(304) 228-4895
NPI assigned
Oct 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2013

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

Authorized official

Name
Anthony Roark, M.A. CCC-SLP
Title
President
Phone
(304) 228-4895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP-1132 WV Primary

Addresses

Primary practice location

922B S Eisenhower Dr
Beckley, WV 25801-6324

Mailing address

359 Country Roads Ests
Shady Spring, WV 25918-8198
Phone (304) 228-4895

National Provider Directory

National Provider Directory

Locations

922B S Eisenhower Dr
Beckley, WV 25801
Phone (304) 228-4895

NPI Registry JSON

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

{
    "created_epoch": "1381622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381622400000",
    "number": "1033546866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 COUNTRY ROADS ESTS",
            "city": "SHADY SPRING",
            "state": "WV",
            "postal_code": "259188198",
            "telephone_number": "304-228-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922B S EISENHOWER DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016324",
            "telephone_number": "304-228-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROARK AND ROARK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-13",
        "last_updated": "2013-10-13",
        "status": "A",
        "authorized_official_last_name": "ROARK",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-228-4895",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-1132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2013; 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.