Brianne Marie Roth, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009817 Issued in GA

Practice address

147 Reinhardt College Pkwy
Suite 9
Canton, GA 30114-5641

Phone

(770) 345-3057

Fax

(770) 345-3154

NPI assigned

Jul 21, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Peak Potential Therapy Solutions, LLC

  • Early Intervention Provider Agency
  • Cranberry Township, PA
  • NPI 1063227510
  NPD Authorized official

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1285864595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 REINHARDT COLLEGE PKWY",
            "address_2": "SUITE 9",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145641",
            "telephone_number": "770-345-3057",
            "fax_number": "770-345-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 REINHARDT COLLEGE PKWY",
            "address_2": "SUITE 9",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145641",
            "telephone_number": "770-345-3057",
            "fax_number": "770-345-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "BRIANNE",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020058",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1801841374",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Neale Rosebrock, M.D.
• Ruth Miriam Roser, RN CNM
• Judith Starr Rossi, PT
• Sarah Rossi, PHARMD
• Jill Denise Rossrucker, M.D.
• Venkateshwer Rao Routhu, M.D.
• Ronson M Royer, DPT, RDMS, RVT, RT N
• Natalya A Rozenberg, PHARMD
• Vilma E Ruddock, M.D.
• Alexandra Ruello, PT, DPT

• All providers in Canton, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.