Kelly Lyn Roe, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2041838 Issued in TX

Practice address

15505 Palmira Ave
#A
Corpus Christi, TX 78418-6785

Phone

(361) 947-4425

Fax

(361) 949-0547

NPI assigned

Apr 4, 2011

Last updated

Apr 4, 2011By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1356630966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18801",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784808801",
            "telephone_number": "361-947-4225",
            "fax_number": "361-949-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15505 PALMIRA AVE",
            "address_2": "#A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186785",
            "telephone_number": "361-947-4425",
            "fax_number": "361-949-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "KELLY",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2041838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starrla K Rodriguez, PT
• Stephanie Marie Rodriguez, FNP-C
• Taryn Rodriguez, LMT
• Veronica Rodriguez
• Vivian Rodriguez
• Lina Maria Roel
• Roger M Sifuentes MD PA
• Nancy Faye Rogers, NP
• Rachel Elizabeth Rogers
• Ryan T Rogers, MD

• Physical Therapy Assistant in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.