Active NPI
Laura L Roach, PT
- Orthopedic Physical Therapist
- West Frankfort, IL
National Provider Identifier
1164591020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 070004717
- 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
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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070004717 | IL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joyner Therapy Services | Orthopedic | Current | Accepting new patients |
| HR Physical Therapy , Sports & Industrial Rehabilitation PC | Orthopedic | Past | 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.
-
- Orthopedic Physical Therapist
- Herrin, IL
- NPI 1265474555
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.