Lauren Michelle Roach, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

113115 Issued in TX

Practice address

5100 Kell Blvd
Wichita Falls, TX 76310-1746

Phone

(940) 691-8181

NPI assigned

Apr 28, 2020

Sex

Female

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)

Enrolled

State licenses

Practice roles

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.

• FC of Texas Inc

  dba Intrepid USA Healthcare Services

  • Home Health Agency
  • Wichita Falls, TX
  • NPI 1407838071
  NPD (past)

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1790306033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15746 FM 1954",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763100374",
            "telephone_number": "940-839-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 KELL BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101746",
            "telephone_number": "940-691-8181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Tx Loop 11",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "76306",
            "country_code": "US",
            "telephone_number": "940-723-8420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4007 Call Field Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763082679",
            "country_code": "US",
            "telephone_number": "940-696-9239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 Armory Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763022204",
            "country_code": "US",
            "telephone_number": "940-720-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROACH",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "113115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Anne Rivard, LMFT
• River Oaks Care Center, L.P. (River Oaks Care Center)
• River Oaks SNF LLC (River Oaks Care Center)
• Rafael Rivera-Rivera, MD
• Erin Rivers, EIS
• Robert D. Esparza, DDS, PC (MyDentist-Wichita Falls)
• Robert Frischer M.D.,P.a.
• Robert S. Polovy, DDS, P.a.
• Kara Roberts
• Kimberly Brooke Roberts, H.I.S.

• Occupational Therapist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.