Active NPI
Jennifer Roetzer
- Physical Therapist
- Oberlin, OH
National Provider Identifier
1447654124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 014240
- Practice address
- 417 S Main St
Oberlin, OH 44074-1749 - Phone
- (440) 775-1491
- NPI assigned
- Oct 9, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 014240 | OH | Primary |
Addresses
Primary practice location
417 S Main St
Oberlin, OH 44074-1749
Mailing address
21564 Jonathan Dr
Strongsville, OH 44149-1243
Phone (440) 597-6073
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 |
|---|---|---|---|
| 014240 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1447654124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21564 JONATHAN DR",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441491243",
"telephone_number": "440-597-6073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 S MAIN ST",
"city": "OBERLIN",
"state": "OH",
"postal_code": "440741749",
"telephone_number": "440-775-1491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROETZER",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-09",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "014240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oberlin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.