Daniel R. Roque PT, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DANIEL R. ROQUE PT, P.C.

Practice address

9209 Marigold Lane
Munster, IN 46321-3016

Phone

(219) 670-5388

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Daniel R. Roque, P. T.

Title

President

Phone

(219) 670-5388

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1780896571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9209 MARIGOLD LANE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213016",
            "telephone_number": "219-670-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 MARIGOLD LANE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213016",
            "telephone_number": "219-670-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL R. ROQUE PT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "ROQUE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-670-5388",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P. T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200833270A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200833280",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Dagen, CCC-SLP
• Hatem Marwan Dajani, M.D.
• Dalal Medical Corporation
• Sanjana Dalal, OD
• Virag Dandekar, MD
• Marquita Daniel, BCHHP
• Giancarlo Danno
• Andrea Darrol
• Satish Dasari, M.D.
• Jackson D Davenport, DPT

• Physical Therapist in Munster, IN
• Providers in Munster, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.