Riley Noelle Roth

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA7366 Issued in ID

Practice address

1816 Eagle Dr Ste 100-C
Woodstock, GA 30189-8273

Phone

(770) 516-9191

NPI assigned

May 20, 2021

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1821663006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20302 43RD AVE E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983876718",
            "telephone_number": "253-682-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 EAGLE DR STE 100-C",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301898273",
            "telephone_number": "770-516-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "RILEY",
        "middle_name": "NOELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "PTA7366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Judith Rose, SLP
• Sara Roland Rose, PSY.D.
• Tyler Rose
• Christopher Thomas Ross, PT, DPT
• Tisha Ross, DDS
• Inger K Roug, D.C,D.A.C.B.R.
• Emily Rowe, LCSW
• Jameson Roy
• Tameka Rozier, CADCII
• Jeffrey W Rubin, MD

• Physical Therapy Assistant in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.