Active NPI
Lorraine Andrews Roller, PT
- Physical Therapist
- Novato, CA
National Provider Identifier
1124194147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 7827
- Practice address
- 7200 Redwood Blvd
#200
Novato, CA 94945-3250 - Phone
- (415) 893-4143
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 7827 | CA | Primary |
Addresses
Primary practice location
7200 Redwood Blvd
#200
Novato, CA 94945-3250
Mailing address
132 Mariner Green CT
Corte Madera, CA 94925-2014
Phone (415) 924-0649
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 7827 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124194147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 MARINER GREEN CT",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949252014",
"telephone_number": "415-924-0649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 REDWOOD BLVD",
"address_2": "#200",
"city": "NOVATO",
"state": "CA",
"postal_code": "949453250",
"telephone_number": "415-893-4143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLER",
"first_name": "LORRAINE",
"middle_name": "ANDREWS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 7827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
Sources for this page
- 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.