Jessica Jo Roth, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

111826 Issued in IA

Practice address

10888 Hickman Rd Ste 2B
Clive, IA 50325-3715

Phone

(515) 520-8037

NPI assigned

Oct 21, 2024

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

Locations

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.

• Fox Rehab PT Ia PLLC

  • Physical Therapist
  • Norwalk, IA
  • NPI 1730840240
  NPD
• Mountain Laurel Physical Therapy and Rehabilitation

  dba Mountain Laurel Physical Therapy

  • Physical Therapist
  • Clive, IA
  • NPI 1891498671
  NPD

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1821819186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 E 48TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503174862",
            "telephone_number": "515-865-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10888 HICKMAN RD STE 2B",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503253715",
            "telephone_number": "515-520-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "JESSICA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "111826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ann Roen, LMT
• Isabelle Rohlfing, LMSW
• Rooted Bloom Therapy and Counseling PLLC
• McKenzie Rosdail Kaus
• Scott L Rospond, BS PHARMACY
• Caryn Rozeboom, MSW
• Blair Camille Runde, PA-C
• Rural Iowa Home Health Care (Rural Iowa HHC)
• Rachel P Rutter, PHARMD
• Brittany Ann Rygg, FNP

• Physical Therapist in Clive, IA
• Providers in Clive, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.