Individual provider Active NPI

Aliyah Goodwin Roach

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1104738038
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P146002 Issued in NY
Practice address
1501 Metropolitan Ave Apt 1C
Bronx, NY 10462-6156
Phone
(347) 652-5626
NPI assigned
Sep 17, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X P146002 NY Primary

Addresses

Primary practice location

1501 Metropolitan Ave Apt 1C
Bronx, NY 10462-6156

Mailing address

1501 Metropolitan Ave Apt 1C
Bronx, NY 10462-6156
Phone (347) 652-5626

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1104738038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 METROPOLITAN AVE APT 1C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104626156",
            "telephone_number": "347-652-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 METROPOLITAN AVE APT 1C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104626156",
            "telephone_number": "347-652-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN ROACH",
        "first_name": "ALIYAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "P146002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.