Kathleen A Roth, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1039188 Issued in TX

Practice address

8855 Viscount Blvd Ste E
El Paso, TX 79925-5812

Phone

(915) 593-8555

Fax

(915) 593-2422

NPI assigned

Aug 20, 2006

Last updated

Feb 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tier 1 Physical Therapy and Sports Medicine PLLCGroup PAC ID 6406004308, 5 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.

• Tier 1 Physical Therapy and Sports Medicine PLLC

  • Physical Therapist
  • El Paso, TX
  • NPI 1053674192
  Medicare reassignment Care Compare group NPD
• Thomas K. Waugh & Associates, P.C.

  • Physical Therapist
  • El Paso, TX
  • NPI 1407956642
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1245345032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 N MESA ST STE 201",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125919",
            "telephone_number": "915-351-6600",
            "fax_number": "915-351-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8855 VISCOUNT BLVD STE E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255812",
            "telephone_number": "915-593-8555",
            "fax_number": "915-593-2422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 N Mesa St Ste 212",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799123523",
            "country_code": "US",
            "telephone_number": "915-585-1888",
            "fax_number": "915-585-1889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1039188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062988302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS AND BLUESHIELD",
            "identifier": "83402T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jorge Carlos Rossell, LMSW
• Cheryl A. Rossi, CRNA
• Robert M. Rosson, DDS
• Claudia Rote, CNA
• Jeanette Roth, RN
• Marilyn Rotwein, RDN
• Sammira Rouhani, MD
• Sarah Rouhani, LPC
• Kristen Marie Roush, LPC
• Paul William Rousseau, PH.D.

• Physical Therapist in El Paso, TX
• Providers in El Paso, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.