Active NPI
Fran Roth, DPT
- Pediatric Physical Therapist
- Highland, MI
National Provider Identifier
1295084416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 5501001589
- Practice address
- 2636 S. Milford Rd.
Highland, MI 48357 - Phone
- (248) 684-9610
- NPI assigned
- Sep 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 5501001589 | MI | Primary |
Addresses
Primary practice location
2636 S. Milford Rd.
Highland, MI 48357
Mailing address
30655 Oldstream St.
Southfield, MI 48076
Phone (248) 642-5145
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346716800000",
"number": "1295084416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30655 OLDSTREAM ST.",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48076",
"telephone_number": "248-642-5145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2636 S. MILFORD RD.",
"city": "HIGHLAND",
"state": "MI",
"postal_code": "48357",
"telephone_number": "248-684-9610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "FRAN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-04",
"last_updated": "2012-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MI",
"license": "5501001589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.