Individual provider Active NPI

Jonathan J Roca, PHYSICAL THERAPIST

  • Physical Therapist
  • Towson, MD
National Provider Identifier
1255452637
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20841 Issued in MD
Practice address
7402 York Rd Ste 104
Towson, MD 21204-7519
Phone
(410) 560-3931
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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 20841 MD Primary

Addresses

Primary practice location

7402 York Rd Ste 104
Towson, MD 21204-7519

Mailing address

716 S Dean St
Baltimore, MD 21224-4351
Phone (443) 872-7769

Other practice location 1

9 PARK Center Court
Suite 130
Owings Mills, MD 21117-4200
Phone (410) 560-3931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214002178 MD Practitioner - Physical Therapist in Private Practice 1153778741 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8659 Baltimore National Pike
Suite a
Ellicott City, MD 21043-4126
Phone 41064418801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20841MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Glackin Physiotherapy, LLC Physical Therapist CurrentSince Aug 21, 2024 Accepting new patients
Medstar Health Physical Therapy at Home, LLC. Physical Therapist CurrentSince Dec 1, 2023 Accepting new patients
Allan H Macht PA CurrentSince Oct 29, 2024 Accepting new patients
Conrad & Renzi, P.a. Physical Therapist CurrentSince Nov 18, 2023 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Aug 20, 2025 Accepting new patients
Allan H Macht PA CurrentSince Apr 27, 2025 Accepting new patients
Medstar Health Physical Therapy at Home, LLC. Physical Therapist CurrentSince Dec 1, 2023 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Aug 20, 2025 Accepting new patients
Conrad & Renzi, P.a. PastSince Nov 18, 2023 Accepting new patients

Locations

575 S Charles St
Ste 200
Baltimore, MD 21201
Phone (410) 727-3615

9159 Red Branch Rd
Ste B
Columbia, MD 21045
Phone (301) 887-5689

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

9159 Red Branch Rd
Ste F
Columbia, MD 21045
Phone (301) 887-5689

10980 Grantchester Way
Columbia, MD 21044
Phone (301) 202-1073

8659 Baltimore National Pike
Ste A
Ellicott City, MD 21043
Phone 41064418801

9 Park Center Ct
Ste 130
Owings Mills, MD 21117
Phone (240) 249-3415

7402 York Rd
Ste 104
Towson, MD 21204
Phone (410) 560-3931

Organizations & group practices 10

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1255452637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 S DEAN ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244351",
            "telephone_number": "443-872-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 YORK RD STE 104",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047519",
            "telephone_number": "410-560-3931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 PARK Center Court",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211174200",
            "country_code": "US",
            "telephone_number": "410-560-3931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCA",
        "first_name": "JONATHAN",
        "middle_name": "J",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.