Andrew Jeremiah Roth, DPT, OCS, SCS, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

016194 Issued in OH

Practice address

29017 Chardon Rd
Willoughby Hills, OH 44092-1475

Phone

(440) 516-5414

Fax

(440) 516-5197

NPI assigned

Sep 27, 2011

Last updated

Feb 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Boston University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ora Orthopedics PCGroup PAC ID 6406741784, 119 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Ora Orthopedics PC

  • Orthopaedic Surgery Physician
  • Moline, IL
  • NPI 1962481861

  IA

  Medicare reassignment Care Compare group NPD
• Ora Orthopedics, PC

  • Orthopaedic Surgery Physician
  • De Witt, IA
  • NPI 1043281355
  NPD
• Ora Orthopedics, PC

  • Orthopaedic Surgery Physician
  • Durant, IA
  • NPI 1639159700
  NPD (past)
• Ortho & Sports Physical Therapy

  • Physical Therapy Clinic/Center
  • Boston, MA
  • NPI 1700864139
  NPD (past)

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1164705059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 BIRCHWOLD RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441214217",
            "telephone_number": "617-680-2195",
            "fax_number": "440-516-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29017 CHARDON RD",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440921475",
            "telephone_number": "440-516-5414",
            "fax_number": "440-516-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "ANDREW",
        "middle_name": "JEREMIAH",
        "credential": "DPT,  OCS, SCS, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-27",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "016194",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert G. Zatroch, D.D.S., Inc
• Robert David Robinson, PT, DPT, CSCS
• Arianna Kimiris Rodriguez
• Elizabeth Christine Rodriguez
• Shawti L Ross
• Candius M Royal, LPN
• RP Transport Inc
• Joseph N Rudolph, M.D.
• Julian M Salopek, PHARMD.
• Kristen Sanford

• Physical Therapist in Willoughby Hills, OH
• Providers in Willoughby Hills, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.