Paul Roh, PT, DPT, OT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

296311 Issued in CA

Practice address

380 Stevens Ave Ste 314
Solana Beach, CA 92075-2069

Phone

(858) 755-5200

Fax

(858) 755-5201

NPI assigned

Feb 4, 2019

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Enrollment records 1

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 and National Provider Directory roles.

• Rise Physical Therapy Inc

  dba SoCal Elite Physical Therapy

  • Physical Therapy Clinic/Center
  • Solana Beach, CA
  • NPI 1083038764

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Tyler Physical Therapy Inc

  • Physical Therapist
  • La Crescenta, CA
  • NPI 1255770095
  NPD (past) Authorized official

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1174088140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 STEVENS AVE STE 314",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752069",
            "telephone_number": "858-755-5200",
            "fax_number": "858-755-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 STEVENS AVE STE 314",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752069",
            "telephone_number": "858-755-5200",
            "fax_number": "858-755-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROH",
        "first_name": "PAUL",
        "credential": "PT, DPT, OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rich Hycner, PH.D.
• Rise Physical Therapy Inc (SoCal Elite Physical Therapy)
• Shacy Rivera, ND, MPH
• Robert a. Rosenfeld DDS (a Professional Dental Corporation)
• Robert S Yuhas MD Inc
• Melinda Faith Roland, MA PT LAC OMD
• Julio Cesar Romero, M.D.
• Rose Clinic a Profesional Medical Corp
• Robert A Rosenfeld, D.D.S.
• Elise Rosenthal

• Physical Therapist in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.