Individual provider Active NPI

Margaret Loretta Roller, PT, MS, DPT

  • Neurology Physical Therapist
  • Northridge, CA
National Provider Identifier
1588967434
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
16008 Issued in CA
Practice address
Csun Department of Physical Therapy
18111 Nordhoff St.
Northridge, CA 91330-0001
Phone
(818) 677-4684
Fax
(818) 677-7411
NPI assigned
Dec 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 16008 CA Primary

Addresses

Primary practice location

Csun Department of Physical Therapy
18111 Nordhoff St.
Northridge, CA 91330-0001

Mailing address

Csun Department of Physical Therapy
18111 Nordhoff St.
Northridge, CA 91330-0001
Phone (818) 677-4684

Other names 1

  • Peggy Roller Other name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
16008CAMDNeurology Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1588967434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CSUN DEPARTMENT OF PHYSICAL THERAPY",
            "address_2": "18111 NORDHOFF ST.",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913300001",
            "telephone_number": "818-677-4684",
            "fax_number": "818-677-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CSUN DEPARTMENT OF PHYSICAL THERAPY",
            "address_2": "18111 NORDHOFF ST.",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913300001",
            "telephone_number": "818-677-4684",
            "fax_number": "818-677-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLER",
        "first_name": "MARGARET",
        "middle_name": "LORETTA",
        "credential": "PT, MS, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "16008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "ROLLER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.