Dakotah Alan Roach, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

61335779 Issued in WA

Practice address

18915 E Appleway Ave Ste A101
Spokane Valley, WA 99016-8856

Phone

(509) 928-3443

NPI assigned

May 12, 2023

Sex

Male

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)

Not 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.

• Lighthouse Physical Therapy and Sports Medicine

  dba Lighthouse PT & Sports Medicine

  • Physical Medicine & Rehabilitation Physician
  • Greenacres, WA
  • NPI 1598364143
  NPD
• Lighthouse Physical Therapy, LLC

  • Physical Therapist
  • Portsmouth, NH
  • NPI 1568433092
  NPD (past)

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1689364515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18915 E APPLEWAY AVE STE A101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990168856",
            "telephone_number": "509-928-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18915 E APPLEWAY AVE STE A101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990168856",
            "telephone_number": "509-928-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "DAKOTAH",
        "middle_name": "ALAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "61335779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Rivera
• Riverside Therapy Center
• Kathryn Ann Rizzo, D.O., PHD
• RJ Care Services LLC (Care to Stay Home)
• RMK Healthcare LLC (Precision Chiropractic)
• Jesica Robb
• Brandon Roberson, MS,OTR
• Summer Lynn Roberson
• Robert B Burr PHD PS
• Robert I Hustrulid MD PLLC (Country Doctors)

• Physical Therapy Assistant in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.