Jeffrey Alan Roche, PHYSICAL THERAPIST

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1166590 Issued in TX

Practice address

3050 Dowlen Rd Ste L
Beaumont, TX 77706-7285

Phone

(409) 861-4606

NPI assigned

Jun 23, 2018

Sex

Male

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)

Enrolled

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

{
    "created_epoch": "1529712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529712000000",
    "number": "1063907996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 LIETRUM ST",
            "city": "VIDOR",
            "state": "TX",
            "postal_code": "776622957",
            "telephone_number": "409-550-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 DOWLEN RD STE L",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777067285",
            "telephone_number": "409-861-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-23",
        "last_updated": "2018-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1166590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cruskaya Orualis Robinson
• James Carlton Robinson, MD
• Robert Obie Robinson, M.D.
• Tarasha Robinson, LCPC, CCD, ICCC
• Mandy D Roccaforte, M.S. CCC-SLP
• Edward F Rod Jr., D.D.S.
• Sean Michael Roden, D.C., B.S., CCSP
• Myrna Cruz Roderick, NURSE PRACTITIONER
• Lynn Smith Rodgers, MS, LPC
• Grigoriy Tsotneevich Rodonaia, M.D. PA

• Orthopedic Physical Therapist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2018; 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.