Lisa Roten

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

555 Issued in AL

Practice address

502 Gautier St
Tuskegee, AL 36083-2600

Phone

(334) 727-2903

NPI assigned

Nov 17, 2009

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

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1114254869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 COUNTY ROAD 196",
            "city": "UNION SPRINGS",
            "state": "AL",
            "postal_code": "360894201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 GAUTIER ST",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360832600",
            "telephone_number": "334-727-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTEN",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Cordarius Rochelle Jr., LMSW
• Jordan Daniel Rockwell, O.D.
• Robert A. Rose, PH.D.
• Jacqueline M. Ross, LMSW
• Lakisha Wennell Ross, DENTAL HYGIENIST
• Nirmala Jasti Rozario, M.D.,PH.D
• Jennifer R. Rutledge, LGSW
• Salem Nursing and Rehabilitation of Tuskegee
• Stephen Arnold Sams, PHD
• Whitney Scifres, MD

• Physical Therapy Assistant in Tuskegee, AL
• Providers in Tuskegee, AL by specialty
• Physical Therapy Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.