Scott Roides, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

089302533 Issued in NY

Practice address

4901 Lac de Ville Blvd
Building D, Suite 120
Rochester, NY 14618-5647

Phone

(585) 341-9250

NPI assigned

Oct 1, 2008

Last updated

Feb 24, 2011By 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": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1811148521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 LAC DE VILLE BLVD",
            "address_2": "BUILDING D, SUITE 120",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185647",
            "telephone_number": "585-341-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 LAC DE VILLE BLVD",
            "address_2": "BUILDING D, SUITE 120",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185647",
            "telephone_number": "585-341-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROIDES",
        "first_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "AT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-01",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "089302533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Rohlfs, LMT
• Patrick Rohr
• Victoria Ann Rohring, RN
• Gregory Rohrs, LPN
• Jennifer Anne Rohrs, L.P.N.
• Shelby Danielle Rojas, RN, FNP
• Dana Bethany Rojek, NP
• Lindsay Rokos, MHC
• Gary John Rolen
• Christine E Rolfe

• Athletic Trainer in Rochester, NY
• Providers in Rochester, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.