Individual provider Active NPI

Roxanne Rich

  • Pediatric Physical Therapist
  • St Augustine, FL
National Provider Identifier
1295103372
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PTA24885 Issued in FL
Practice address
56 Water St
St Augustine, FL 32084-2887
Phone
(727) 364-4024
NPI assigned
Sep 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Pediatric Physical Therapist 2251P0200X PTA24885 FL Primary

Addresses

Primary practice location

56 Water St
St Augustine, FL 32084-2887

Mailing address

927 Grace Ave
Panama City, FL 32401-2521
Phone (850) 769-5371

Other practice location 1

927 Grace Ave
Panama City, FL 32401-2521
Phone (850) 769-5371 ext. 210

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

LicenseStateTypeSpecialty
PTA24885FLMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Talk of the Town Speech Therapy LLC CurrentSince Feb 24, 2022 Accepting new patients
Talk of the Town Speech Therapy LLC PastSince May 1, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644624000000",
    "number": "1295103372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 GRACE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012521",
            "telephone_number": "850-769-5371",
            "fax_number": "850-872-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 WATER ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320842887",
            "telephone_number": "727-364-4024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "927 Grace Ave",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324012521",
            "country_code": "US",
            "telephone_number": "850-769-5371 x210",
            "fax_number": "850-872-9558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICH",
        "first_name": "ROXANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PTA24885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2022; 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.