Active NPI
Ann Marie Babbidge, PT
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1407031636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4680
- Practice address
- 8665 S Eastern Ave Ste 103
Las Vegas, NV 89123-2802 - Phone
- (702) 330-3073
- Fax
- (702) 509-5386
- NPI assigned
- Jan 7, 2008
- Last updated
- Feb 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20373 | CA | |
| Physical Therapist | 225100000X | 4680 | NV | Primary |
Addresses
Primary practice location
8665 S Eastern Ave Ste 103
Las Vegas, NV 89123-2802
Mailing address
125 S Buteo Woods LN # 201
Las Vegas, NV 89144-4352
Phone (805) 345-6560
Other names 1
- Ann Marie Roach
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20373 | CA | MD | Clinical Social Worker |
| 4680 | NV | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Luis Physical Therapy & Orthopedic Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
| San Luis Physical Therapy & Orthopedic Rehabilitation Inc | Physical Therapist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Movement For Life Physical Therapy
- Physical Therapy Clinic/Center
- Atascadero, CA
- NPI 1225046824
Physical Therapist
-
dba Movement for Life Physical Therapy
- Physical Therapy Clinic/Center
- Stockton, CA
- NPI 1578354239
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1407031636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 S BUTEO WOODS LN # 201",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891444352",
"telephone_number": "805-345-6560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8665 S EASTERN AVE STE 103",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891232802",
"telephone_number": "702-330-3073",
"fax_number": "702-509-5386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABBIDGE",
"first_name": "ANN",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-07",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "20373",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "4680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "ROACH",
"middle_name": "MARIE",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.