Maria Roth, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI004031 Issued in PA

Practice address

8601 Stenton Ave
Wyndmoor, PA 19038-8312

Phone

(215) 233-6861

NPI assigned

Mar 21, 2019

Sex

Female

Sole proprietor

No

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1124588686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 HERITAGE DR",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "194033876",
            "telephone_number": "215-601-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 STENTON AVE",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190388312",
            "telephone_number": "215-233-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "MARIA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI004031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daila Melita Pravs, M.D.
• Jillian Prinz
• Christopher Matthew Raison, DPT
• Rest Haven Nursing Center-Chestnut Hill-Inc
• Anthony Roselli, M.D.
• Scott Rubin, LSW
• Heather Ruthrauff, MS, OTR/L
• Neil L Sand, DO
• Benjamin Ross Sanfilippo-Cohn, M.D.
• Walter Saraga Jr., D.C.

• Physical Therapy Assistant in Wyndmoor, PA
• Providers in Wyndmoor, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.