Active NPI
Monica Lynne Roebuck, PTA
- Physical Therapy Assistant
- Loveland, OH
National Provider Identifier
1720129836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA04494
- Practice address
- 9370 Union Cemetery Rd
Loveland, OH 45140-9577 - Phone
- (513) 677-4900
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA04494 | OH | Primary |
Addresses
Primary practice location
9370 Union Cemetery Rd
Loveland, OH 45140-9577
Mailing address
196 Willow Grove Dr
Springboro, OH 45066-7530
Phone (937) 239-1572
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04494-PTA | Other | OH | OHIO PTA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA04494 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1720129836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 WILLOW GROVE DR",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450667530",
"telephone_number": "937-239-1572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9370 UNION CEMETERY RD",
"city": "LOVELAND",
"state": "OH",
"postal_code": "451409577",
"telephone_number": "513-677-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEBUCK",
"first_name": "MONICA",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA04494",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO PTA LICENSE",
"identifier": "04494-PTA",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Loveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.