Tara Jeanine Roaldson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1222 Issued in ND

Practice address

701 3Rd St NW
Jamestown, ND 58401-2963

Phone

(701) 252-3850

Fax

(701) 952-5154

NPI assigned

Mar 15, 2007

Last updated

Jul 9, 2007By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306970926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 3RD ST NW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584012963",
            "telephone_number": "701-252-3850",
            "fax_number": "701-952-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 3RD ST NW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584012963",
            "telephone_number": "701-252-3850",
            "fax_number": "701-952-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROALDSON",
        "first_name": "TARA",
        "middle_name": "JEANINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NORTH DAKOTA",
            "identifier": "23194",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52502",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ringdahl, Inc. (Jamestown Area Ambulance)
• Leann Carol Ripplinger, OTR/L
• Rise and Shine Residential Care
• Teresa Rittenbach, NP
• Sandra L Rivinius, LAC
• Danielle Robbins, PSY.D.
• Maria Diana E. Robles, M.D.
• Rock of Ages Home Inc
• Taylor Roddie
• Shawna Leigh Rode, MS, OTRL

• Physical Therapist in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.