Active NPI
Rhoda P Roldan, PT
- Physical Therapist
- Maple Shade, NJ
National Provider Identifier
1437371929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01190400
- Practice address
- 122 E Kings Hwy
Suite 502
Maple Shade, NJ 08052-3424 - Phone
- (856) 231-0088
- Fax
- (856) 777-8278
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01190400 | NJ | Primary |
Addresses
Primary practice location
122 E Kings Hwy
Suite 502
Maple Shade, NJ 08052-3424
Mailing address
122 E Kings Hwy
Suite 502
Maple Shade, NJ 08052-3424
Phone (856) 231-0088
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01190400 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab and Fitness Consulting, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Maple Shade, NJ
- NPI 1992724918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437371929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 E KINGS HWY",
"address_2": "SUITE 502",
"city": "MAPLE SHADE",
"state": "NJ",
"postal_code": "080523424",
"telephone_number": "856-231-0088",
"fax_number": "856-777-8278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 E KINGS HWY",
"address_2": "SUITE 502",
"city": "MAPLE SHADE",
"state": "NJ",
"postal_code": "080523424",
"telephone_number": "856-231-0088",
"fax_number": "856-777-8278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLDAN",
"first_name": "RHODA",
"middle_name": "P",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01190400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maple Shade, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.