Trennon Roarty

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2020029343 Issued in MO

Practice address

2202 Locust St
Saint Joseph, MO 64501-3121

Phone

(816) 323-0992

NPI assigned

Sep 23, 2020

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Locations

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.

• From the Ground Up Physical Therapy & Wellness LLC

  • Physical Therapist
  • Saint Joseph, MO
  • NPI 1437911260
  NPD Authorized official
• Gutshall Clinic of Chiropractic P.C.

  • Chiropractor
  • Cameron, MO
  • NPI 1659567857
  NPD (past)

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1609483718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 LOCUST ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645013121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 LOCUST ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645013121",
            "telephone_number": "816-323-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROARTY",
        "first_name": "TRENNON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2020029343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy S Rittscher, APRN-BC
• Federico Rivas-Gotz, M.D.
• River City Laboratory, LLC
• Rica Rivera
• Cynthia Ann Roades, RPH
• Carol A. Robb, L.C.S.W.
• Robert C. Paolillo,Ddspc
• Robert F Tobin & Associates, Inc
• Robert Lackamp, MD, PC
• Robert. L. Brunker, D.D.S., P.C.

• Physical Therapist in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.