Johnathan Derek Roarke, PTA

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

42526 Issued in KY

Practice address

116 Phelps CT
Bowling Green, KY 42104-7444

Phone

(270) 935-8077

NPI assigned

Aug 19, 2025

Last updated

Aug 19, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1760369862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 PHELPS CT",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047444",
            "telephone_number": "270-935-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 PHELPS CT",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047444",
            "telephone_number": "270-935-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROARKE",
        "first_name": "JOHNATHAN",
        "middle_name": "DEREK",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "KY",
            "license": "42526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Non-emergency Medical Transport (VAN) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.