Active NPI
Rachel W Roach, MPT
- Physical Therapist
- Redmond, OR
National Provider Identifier
1215917398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4810
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215917398 | Other | NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4810 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergence Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Tensegrity Physical Therapy | Physical Therapist | Past | 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.
-
- Physical Therapist
- Redmond, OR
- NPI 1225617210
-
- Physical Therapist
- Eugene, OR
- NPI 1932187358
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.