Individual provider Active NPI

Sara Roach, PT, DPT, CBIS

  • Physical Therapist
  • Rockford, MI
National Provider Identifier
1841605060
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501015095 Issued in MI
Practice address
521 E Division St
Rockford, MI 49341-1376
Phone
(616) 866-6859
Fax
(616) 866-6897
NPI assigned
Jun 26, 2014
Last updated
Sep 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501015095 MI Primary

Addresses

Primary practice location

521 E Division St
Rockford, MI 49341-1376

Mailing address

521 E Division St
Rockford, MI 49341-1376
Phone (616) 866-6859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150327000133 MI Practitioner - Physical Therapist in Private Practice 4284951450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Beyond Barriers RehabilitationGroup PAC ID 4880829738, 16 clinicians

Practice addresses (Care Compare)

521 E Division St
Rockford, MI 49341-1376
Phone (616) 866-6859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501015095MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
West Michigan Community-Based Rehabilitation LLC Physical Therapist CurrentSince Oct 3, 2025 Accepting new patients
Life Beyond Barriers Rehabilitation CurrentSince Jul 1, 2018 Accepting new patients
Mary Free Bed Rehabilitation Hospital Past Accepting new patients
Stay Well Physical Therapy and Wellness LLC Physical Therapist PastSince Oct 3, 2025 Accepting new patients

Locations

521 E Division St
Rockford, MI 49341
Phone (616) 866-6859

415 Munson Ave
Ste 103
Traverse City, MI 49686
Phone (231) 486-6330

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1841605060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E DIVISION ST",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411376",
            "telephone_number": "616-866-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E DIVISION ST",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411376",
            "telephone_number": "616-866-6859",
            "fax_number": "616-866-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "SARA",
        "credential": "PT, DPT, CBIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.