Individual provider Active NPI

Ean Michael Roche

  • Physical Therapy Assistant
  • Washington, DC
National Provider Identifier
1093427601
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA2000040DC Issued in DC
Practice address
1120 20TH St NW Ste 116
Washington, DC 20036-3406
Phone
(240) 825-2561
NPI assigned
Dec 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A5771 MD
Physical Therapy Assistant 225200000X PTA2000040DC DC Primary

Addresses

Primary practice location

1120 20TH St NW Ste 116
Washington, DC 20036-3406

Mailing address

1120 20TH St NW Ste 116
Washington, DC 20036-3406
Phone (240) 825-2561

Other practice location 1

1100 E 33rd St Ste 105
Baltimore, MD 21218-6795
Phone (443) 819-2612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA2000040DCDCMDPhysical Therapy Assistant
A5771MDMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1093427601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 20TH ST NW STE 116",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363406",
            "telephone_number": "240-825-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 20TH ST NW STE 116",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363406",
            "telephone_number": "240-825-2561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 E 33rd St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212186795",
            "country_code": "US",
            "telephone_number": "443-819-2612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "EAN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-15",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A5771",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "DC",
            "license": "PTA2000040DC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.