Active NPI
Roger Joseph Stroh, PT
- Physical Therapist
- Fargo, ND
National Provider Identifier
1851329478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 962
- Practice address
- 4674 40TH Ave S Ste a
Suite 1
Fargo, ND 58104 - Phone
- (701) 293-7294
- Fax
- (701) 282-9738
- NPI assigned
- Jun 30, 2006
- Last updated
- Jun 29, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 962 | ND | Primary |
Addresses
Primary practice location
4674 40TH Ave S Ste a
Suite 1
Fargo, ND 58104
Mailing address
4674 40TH Ave S Ste a
Suite a
Fargo, ND 58104-4501
Phone (701) 293-7294
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025172 | Other | ND | BLUE SHEILD ND |
| 9401132 | Other | ND | PHCS |
| A65191045383 | Other | ND | PREFERRED ONE |
| HP55856 | Other | ND | HEALTHPARTNERS |
| 6405943 | Other | ND | SELECTCARE |
| 6405943 | Other | ND | MEDICA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 962 | ND | MD | Speech-Language Pathologist |
| 5789 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At-Home Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 2
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.
-
dba Rehab4Life Physical Therapy
- Physical Therapist
- Fargo, ND
- NPI 1437173945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1851329478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4674 40TH AVE S STE A",
"address_2": "SUITE A",
"city": "FARGO",
"state": "ND",
"postal_code": "581044501",
"telephone_number": "701-293-7294",
"fax_number": "701-282-9738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4674 40TH AVE S STE A",
"address_2": "SUITE 1",
"city": "FARGO",
"state": "ND",
"postal_code": "58104",
"telephone_number": "701-293-7294",
"fax_number": "701-282-9738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROH",
"first_name": "ROGER",
"middle_name": "JOSEPH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "962",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHEILD ND",
"identifier": "025172",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9401132",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "A65191045383",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP55856",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECTCARE",
"identifier": "6405943",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6405943",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.