Stephanie Michelle Roche, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

012033 Issued in GA

Practice address

BLDG. 4200-Wilson Hall
Harmony Church
Ft Moore, GA 31905

Phone

(706) 366-7415

Fax

(706) 366-7415

NPI assigned

Aug 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1891161923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG. 4200-WILSON HALL",
            "address_2": "HARMONY CHURCH",
            "city": "FT MOORE",
            "state": "GA",
            "postal_code": "31905",
            "telephone_number": "762-850-9336",
            "fax_number": "762-850-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG. 4200-WILSON HALL",
            "address_2": "HARMONY CHURCH",
            "city": "FT MOORE",
            "state": "GA",
            "postal_code": "31905",
            "telephone_number": "706-366-7415",
            "fax_number": "706-366-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "012033",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "012033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Primos, SOCIAL WORKER
• John Franklin Rains, PA-C
• David Reynhout, PA
• Justin Richel
• Megan Renee Ripperger, MS, RD, CSSD, LD
• Anayeli Rodriguez, FNP
• Richard Trent Rogers, MD
• Wendy Kay Rowell
• Harjesus S Sandhu
• Christopher Scott Schloff, PA-C

• Orthopedic Physical Therapist in Ft Moore, GA
• Providers in Ft Moore, GA by specialty
• Orthopedic Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.