Individual provider Active NPI

Landon Roth, DPT

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1902698327
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-021783 Issued in OH
Practice address
11003 Montgomery Rd Ste a
Cincinnati, OH 45249-2306
Phone
(513) 469-1444
NPI assigned
May 21, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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 PT-021783 OH Primary

Addresses

Primary practice location

11003 Montgomery Rd Ste a
Cincinnati, OH 45249-2306

Mailing address

7567 Central Parke Blvd Ste a
Mason, OH 45040-6855
Phone (513) 701-6104

Other practice location 1

2900 Chancellor Dr Ste 101
Crestview Hills, KY 41017-5427
Phone (859) 331-2233

Other practice location 2

1814 Declaration Dr
Independence, KY 41051-8196
Phone (859) 356-4600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250826003701 KY Practitioner - Physical Therapist in Private Practice 7517467210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

2900 Chancellor Dr
Crestview Hills, KY 41017-5427
Phone (859) 331-2233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-021783OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oxford Physical Therapy and Rehabilitation Physical Therapist CurrentSince May 27, 2025 Accepting new patients

Locations

2900 Chancellor Dr
Ste 101
Crestview Hills, KY 41017
Phone (859) 331-2233

2900 Chancellor Dr
Crestview Hills, KY 41017
Phone (859) 341-0288

1814 Declaration Dr
Independence, KY 41051
Phone (859) 356-4600

11003 Montgomery Rd
Ste A
Cincinnati, OH 45249
Phone (513) 469-1444

7567 Central Parke Blvd
Mason, OH 45040
Phone (513) 701-6100

7567 Central Parke Blvd
Ste A
Mason, OH 45040

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1902698327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7567 CENTRAL PARKE BLVD STE A",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406855",
            "telephone_number": "513-701-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11003 MONTGOMERY RD STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492306",
            "telephone_number": "513-469-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Chancellor Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Crestview Hills",
            "state": "KY",
            "postal_code": "410175427",
            "country_code": "US",
            "telephone_number": "859-331-2233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1814 Declaration Dr",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "KY",
            "postal_code": "410518196",
            "country_code": "US",
            "telephone_number": "859-356-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "LANDON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-021783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.