Laura Roach, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0020096 Issued in CO

Practice address

110 Broadmoor Hills Dr
Colorado Springs, CO 80906-4383

Phone

(719) 332-9761

NPI assigned

Aug 23, 2024

Last updated

Aug 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Laura Wilson Former name

Medicare fee-for-service enrollment

Enrolled in AZ, CO2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Springs Orthopaedic GroupGroup PAC ID 5395633747, 80 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Colorado Springs Orthopaedic Group

  • Specialist
  • Colorado Springs, CO
  • NPI 1972578359
  Medicare reassignment Care Compare group NPD (past)
• Foothills Sports Medicine & Rehabilitation, LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1558318170
  Medicare reassignment NPD
• Colorado Springs Orthopaedic Group

  • Specialist
  • Colorado Springs, CO
  • NPI 1356317135
  NPD
• Colorado Springs Orthopaedic Group

  dba Audubon Orthotic and Prosthetic Services

  • Durable Medical Equipment & Medical Supplies
  • Colorado Springs, CO
  • NPI 1417957275
  NPD
• Foothills Sports Medicine & Rehabilitation, LLC

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1073224267
  NPD
• Foothills Sports Medicine & Rehabilitation, LLC

  dba ProActive Physical Therapy

  • Physical Therapist
  • Tucson, AZ
  • NPI 1699405050
  NPD (past)

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1902639040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BROADMOOR HILLS DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064383",
            "telephone_number": "719-332-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BROADMOOR HILLS DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064383",
            "telephone_number": "719-332-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0020096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "WILSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexa Rose Rizzo
• Mark Rizzo
• Landry Rizzotto
• RNB Pharmacy LLC (Medicine Shoppe)
• Alyssa Nichole Roach
• Mary Roach
• Stephen Ray Roark, O.D
• Taylor Lauren Roark, CRNP
• Tamie Sue Robb, RN
• Colton Robbins, RBT

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.