Dennis D Roth, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

RO817 Issued in MO

Practice address

3639 N Saint Peters Pkwy
Saint Peters, MO 63376-7303

Phone

(636) 441-7500

Fax

(636) 441-3004

NPI assigned

Aug 16, 2006

Last updated

Jun 7, 2013By the provider in NPPES

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

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capptcg, LLCGroup PAC ID 2668770157, 30 clinicians

Petkov Bodywork Therapy LLCGroup PAC ID 8820428444, 13 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capptcg, LLC

  dba AT Home Therapy

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1922498500
  Medicare reassignment Care Compare group NPD
• Petkov Bodywork Therapy, LLC

  dba AllOne Mobile Healthcare

  • Physical Rehabilitation Occupational Therapist
  • Glendale, AZ
  • NPI 1386271690
  Medicare reassignment Care Compare group NPD
• Arizona Luna Care Physical Therapy, LLC

  • Physical Therapist
  • Peoria, AZ
  • NPI 1629698147
  Medicare reassignment NPD
• Arizona Mobile Therapy LLC

  • Physical Therapist
  • Surprise, AZ
  • NPI 1104521616
  Medicare reassignment NPD
• Allone Healthcare LLC

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1952122061
  NPD

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1699888354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3639 N SAINT PETERS PKWY",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767303",
            "telephone_number": "636-441-7500",
            "fax_number": "636-441-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3639 N SAINT PETERS PKWY",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767303",
            "telephone_number": "636-441-7500",
            "fax_number": "636-441-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "DENNIS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "RO817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Noelle Roscow
• Douglas G Rose, OD
• Lori Wulf Roseman, D.D.S.
• Linda Sue Rosemann, RPH
• Anna Roshal, MD
• Richard Charles Rothweiler, RN
• Mark Steven Routburg, MD
• Alexis Rowland
• Rueschhoff Physical Therapy Inc (Heritage Physcial Therapy)
• Theodore S. Rummel, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.