Roger Surette Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1091 Issued in AZ

Legal business name

ROGER SURETTE PHYSICAL THERAPY LLC

Practice address

302 El Camino Real Ste 10G
Sierra Vista, AZ 85635-2825

Phone

(520) 458-5105

Fax

(520) 459-2357

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Sandy Kaplan

Title

Contracts

Phone

(520) 458-6331

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1649291584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 EL CAMINO REAL STE 10G",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352825",
            "telephone_number": "520-458-5105",
            "fax_number": "520-459-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 EL CAMINO REAL STE 10G",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352825",
            "telephone_number": "520-458-5105",
            "fax_number": "520-459-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER SURETTE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "CONTRACTS",
        "authorized_official_telephone_number": "520-458-6331"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "1091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "P00248760",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HN",
            "identifier": "2Z1712",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "782062",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erik Robles-Moreno
• Patricia June Rochford, RN
• Aimee Teresa Rodriguez, RN
• Isabelle Gorman Rodriguez, OTR/L
• Anthony Roether, PHARMD
• Deborah Melisa Roman-Montes, COTA/L
• Victor Louis Romero, R.PH
• Alexis Romine
• James David Rowley, FNP
• Christine Rowser, OTR L

• Physical Therapist in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.