Individual provider Active NPI

Rachel W Roach, MPT

  • Physical Therapist
  • Redmond, OR
National Provider Identifier
1215917398
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4810 Issued in OR
Practice address
494 SW Veterans Way Ste 1
Redmond, OR 97756-6408
Phone
(541) 852-3271
Fax
(541) 345-3559
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4810 OR Primary

Addresses

Primary practice location

494 SW Veterans Way Ste 1
Redmond, OR 97756-6408

Mailing address

10436 NE Sage LN
Terrebonne, OR 97760-9613
Phone (541) 852-3271

Other practice location 1

244 E Broadway
Eugene, OR 97401-2732
Phone (541) 338-7088

Other identifiers 1

IdentifierTypeStateIssuer
1215917398OtherNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rachel.roach@emergencephysicaltherapy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4810ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergence Physical Therapy Physical Therapist CurrentSince Jun 6, 2021 Accepting new patients
Tensegrity Physical Therapy Physical Therapist PastSince Sep 20, 2022 Accepting new patients

Locations

494 SW Veterans Way
Ste 1
Redmond, OR 97756
Phone (541) 338-7088

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1215917398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10436 NE SAGE LN",
            "city": "TERREBONNE",
            "state": "OR",
            "postal_code": "977609613",
            "telephone_number": "541-852-3271",
            "fax_number": "541-345-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 SW VETERANS WAY STE 1",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977566408",
            "telephone_number": "541-852-3271",
            "fax_number": "541-345-3559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "244 E Broadway",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012732",
            "country_code": "US",
            "telephone_number": "541-338-7088",
            "fax_number": "541-345-3559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROACH",
        "first_name": "RACHEL",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215917398",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rachel.roach@emergencephysicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Secure Email",
            "address_1": "494 SW Veterans Way Ste 1",
            "city": "Redmond",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977566408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.