Amy A Roe, MPT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1179 Issued in SD

Practice address

3064 Covington St Ste 104
Rapid City, SD 57703-7208

Phone

(605) 787-2719

Fax

(605) 718-4452

NPI assigned

Dec 6, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• High Plains Physical Therapy Associates Inc

  • Physical Therapy Clinic/Center
  • Rapid City, SD
  • NPI 1366568743
  NPD (past)
• High Plains Physical Therapy II LLC

  • Physical Therapy Clinic/Center
  • Black Hawk, SD
  • NPI 1114453339
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1649254277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3064 COVINGTON ST STE 104",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577037208",
            "telephone_number": "605-787-2719",
            "fax_number": "605-718-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3064 COVINGTON ST STE 104",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577037208",
            "telephone_number": "605-787-2719",
            "fax_number": "605-718-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "AMY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MPT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5842190",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Roder, CNP
• Sarah Rodolph, DNP
• Marice K Rodriguez, APRN, CNP
• Amber Roduner, MA
• Zach Roduner
• Brett Roes-Hartman, MS, LPC, NCC
• Christine Rogers, CNP
• Ashley Rojo
• Charisse Rola, ACT
• Root and Bloom Counseling

• Physical Therapist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.