Active NPI
Roark and Roark Inc.
- Speech-Language Pathologist
- Beckley, WV
National Provider Identifier
1033546866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-1132
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryLocations
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.