Miriam N Roach

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

001888 Issued in NY

Practice address

376 Bay 44TH St
Brooklyn, NY 11214-7103

Phone

(718) 096-5451

Fax

(718) 096-5488

NPI assigned

Jun 12, 2007

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093919334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1458 E 88TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365120",
            "telephone_number": "718-906-5451",
            "fax_number": "718-096-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 BAY 44TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112147103",
            "telephone_number": "718-096-5451",
            "fax_number": "718-096-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "MIRIAM",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "001888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Roa
• Stephen Roa
• Xochitl Dolores Roa, LCSW-R
• Cheyenne Roach
• Kristen A Roach, LPN
• Ryan Michael Roach, OTR
• Krystle Roache
• Nadiya Y Roache
• Semoy Roache
• Road to Recovery Physical Therapy, P.C.

• Physical Therapy Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapy Assistant in New York

• 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.