Individual provider Active NPI

Rachel Erin Roth

  • Physician Assistant
  • Atlantis, FL
National Provider Identifier
1669012282
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9114988 Issued in FL
Practice address
180 John F Kennedy Dr Ste 100
Atlantis, FL 33462-6641
Phone
(561) 967-6500
NPI assigned
Jan 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9114988 FL Primary

Addresses

Primary practice location

180 John F Kennedy Dr Ste 100
Atlantis, FL 33462-6641

Mailing address

180 John F Kennedy Dr Ste 100
Atlantis, FL 33462-6641
Phone (561) 967-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211110003302 FL Practitioner - Physician Assistant 0941699037 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9114988FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Center of Palm Beach County CurrentSince Nov 1, 2021 Accepting new patients
Orthopedic Center of Palm Beach County, LLC CurrentSince Nov 1, 2021 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients
Orthopedic Center of Palm Beach County, Inc. Past Accepting new patients

Locations

1905 Clint Moore Rd
Ste 214
Boca Raton, FL 33496
Phone (561) 241-8668

4705 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 220-2622

10275 Hagen Ranch Rd
Ste 200
Boynton Beach, FL 33437
Phone 5619676500 ext. 1324

1221 S State Road 7
Ste 200
Wellington, FL 33414
Phone (561) 697-6500

Interoperability endpoints

  • Direct secure messaging: rachel.roth.1@26475.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1578700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1669012282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 JOHN F KENNEDY DR STE 100",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626641",
            "telephone_number": "561-967-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 JOHN F KENNEDY DR STE 100",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626641",
            "telephone_number": "561-967-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "RACHEL",
        "middle_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-11",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9114988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.