Kaitlyn Roth

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-118703 Issued in SC

Practice address

197 Piedmont Blvd Ste 205
Rock Hill, SC 29732-1846

Phone

(803) 639-8066

NPI assigned

May 28, 2021

Last updated

May 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Comprehab LLC

  dba Compleat KiDZ Pediatric Therapy

  • Physical Therapist
  • Gastonia, NC
  • NPI 1407932775

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1437725637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 PATRIOT PKWY APT 102",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297302767",
            "telephone_number": "843-694-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 PIEDMONT BLVD STE 205",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321846",
            "telephone_number": "803-639-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "KAITLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "SC",
            "license": "RBT-20-118703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail C Rollerson
• Emily Rollins, LISW-CP, LMSW
• Erin Roseman
• William Fenton Ross III, DMD
• Isaiah Rossey
• Barbara L Rowland, M.D.
• Baylee Roys
• Laura Lea Rubin, L/OT, CHT
• Martha Adelaida Rubinstien
• Nikki Danielle Rudd, OTR/L

• Behavior Technician in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Behavior Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.