James K. Roche, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT005702L Issued in PA

Practice address

805 S Atherton St
Suite 103
State College, PA 16801-4671

Phone

(814) 278-1912

Fax

(814) 278-1921

NPI assigned

Nov 30, 2006

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

Other identifiers 3

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.

• Phoenix Rehabilitation and Health Services, Inc.

  • Speech-Language Pathologist
  • Blairsville, PA
  • NPI 1972604783
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083781223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 PHILADELPHIA ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013902",
            "telephone_number": "724-463-7478",
            "fax_number": "724-463-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S ATHERTON ST",
            "address_2": "SUITE 103",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014671",
            "telephone_number": "814-278-1912",
            "fax_number": "814-278-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "JAMES",
        "middle_name": "K.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005702L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1587551",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMER.HEALTH ASSUR.",
            "identifier": "451169",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL-KHPC",
            "identifier": "50061256",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Thomas Roan, DMD
• Robert J Hunter MD Inc
• Philip Gwynne Roberts Jr., MD
• Elyse Robinson, M.ED, LPC
• John F Robison, D.M.D.
• Sarah E Rochette, PH.D.
• Jacoba Rock, LCSW
• Brian Garrett Rockower, M.D.
• Roger Alan Rockower, MD
• Shelley Roderick

• Physical Therapist in State College, PA
• Providers in State College, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.