Sarah Rose Rothman

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA213562 Issued in OR

Practice address

1535 N Williams Ave
Portland, OR 97227-1885

Phone

(503) 238-2067

NPI assigned

Nov 22, 2021

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: sarah.rothman.1@24990.direct.athenahealth.com

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.

• Vital Total Health Medical Group, Inc.

  • Multi-Specialty Clinic/Center
  • Walnut Creek, CA
  • NPI 1386107928
  Medicare reassignment

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1316604697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 SE 8TH AVE # A-201",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234216",
            "telephone_number": "510-427-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 N WILLIAMS AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271885",
            "telephone_number": "503-238-2067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5096 Kearney Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946022607",
            "country_code": "US",
            "telephone_number": "510-427-8855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 SE Baseline St",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971234244",
            "country_code": "US",
            "telephone_number": "503-352-7367",
            "fax_number": "971-266-2957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "SARAH",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA60395",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA213562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Rothacker Peyton, APRNCS, PMH-NP
• Daniel Keith Rothenberg
• Kristi E Rothenbucher, M.A., CADC I
• Anna Rothgeb
• Ilan Jose Rothman, MD
• Vickie Ellen Rothrock, PNP
• Joy Anne Rothschild, NP
• Matthew Rotman
• Mikah Rotman
• Alizah Rabin Rotramel, M.D.

• Physician Assistant in Portland, OR
• Providers in Portland, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.