Individual provider Active NPI

Mallory Ann Roff, RRT

  • Registered Respiratory Therapist
  • Hudson, WI
National Provider Identifier
1861306003
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
3353-28 Issued in WI
Practice address
405 Stageline Rd
Hudson, WI 54016-1793
Phone
(715) 531-6636
Fax
(715) 531-6416
NPI assigned
Oct 2, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 3353-28 WI Primary

Addresses

Primary practice location

405 Stageline Rd
Hudson, WI 54016-1793

Mailing address

405 Stageline Rd
Hudson, WI 54016-1793
Phone (715) 531-6636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1861306003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 STAGELINE RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161793",
            "telephone_number": "715-531-6636",
            "fax_number": "715-531-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 STAGELINE RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161793",
            "telephone_number": "715-531-6636",
            "fax_number": "715-531-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROFF",
        "first_name": "MALLORY",
        "middle_name": "ANN",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "WI",
            "license": "3353-28",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.