Individual provider Active NPI

Laura L Roach, PT

  • Orthopedic Physical Therapist
  • West Frankfort, IL
National Provider Identifier
1164591020
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
070004717 Issued in IL
Practice address
11998 Stiritz Rd
West Frankfort, IL 62896-7112
Phone
(618) 967-1336
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 070004717 IL Primary

Addresses

Primary practice location

11998 Stiritz Rd
West Frankfort, IL 62896-7112

Mailing address

11998 Stiritz Rd
West Frankfort, IL 62896-7112
Phone (618) 967-1336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070207000491 IL Practitioner - Physical Therapist in Private Practice 8123073269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joyner Therapy ServicesGroup PAC ID 4284659657, 14 clinicians

Practice addresses (Care Compare)

2907 Williamson County Pkwy
Marion, IL 62959-5256
Phone (618) 998-9894

924 S Commercial St
Harrisburg, IL 62946-2637
Phone (618) 252-7171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070004717ILMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joyner Therapy Services Orthopedic CurrentSince Nov 7, 2023 Accepting new patients
HR Physical Therapy , Sports & Industrial Rehabilitation PC Orthopedic PastSince Mar 15, 2005 Accepting new patients

Locations

2907 Williamson County Pkwy
Marion, IL 62959
Phone (618) 998-9894

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1164591020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11998 STIRITZ RD",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628967112",
            "telephone_number": "618-967-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11998 STIRITZ RD",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628967112",
            "telephone_number": "618-967-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "LAURA",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070004717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.