Benjamin Aaron Rouah, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL4616 Issued in FL

Practice address

4000 Central Florida Blvd
Orlando, FL 32816-8005

Phone

(954) 552-6260

NPI assigned

Aug 12, 2017

Sex

Male

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": "1502496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502496000000",
    "number": "1194240945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9318 NW 48TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333515218",
            "telephone_number": "954-552-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CENTRAL FLORIDA BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328168005",
            "telephone_number": "954-552-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUAH",
        "first_name": "BENJAMIN",
        "middle_name": "AARON",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-12",
        "last_updated": "2017-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL4616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlee Rae Rothman, CNM
• Steven G Rothrock, MD
• Dennis Frederick Rothschild, D.D.S.
• Dawn C Rotti, NP
• Dana L. Rotundo, D.C.
• Omid Rouhi, M.D., PHD
• Thomas Sean Roukis, DPM, PHD
• Jahvun Roulhac, PTA
• Latoya Nichole Rourk, APRN
• Sara Finley Rourke, RD, LD/N, CNSC

• Athletic Trainer in Orlando, FL
• Providers in Orlando, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2017; 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.