Rebecca Sallee Roush, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501005548 Issued in MI

Practice address

812 S Garfield Ave
Suite 1
Traverse City, MI 49686-3456

Phone

(231) 709-0045

Fax

(231) 421-9193

NPI assigned

May 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Sallee Marshall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Advanced Therapy Group, LLC

  • Physical Therapist
  • Traverse City, MI
  • NPI 1326391137
  NPD
• Speech for All Seasons

  • Hearing and Speech Clinic/Center
  • Traverse City, MI
  • NPI 1790420693
  NPD
• Northwood Physical Therapy Limited Partnership

  • Physical Therapist
  • Williamsburg, MI
  • NPI 1609987981
  NPD (past)

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

{
    "created_epoch": "1211673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1912165101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 S GARFIELD AVE",
            "address_2": "SUITE 1",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863456",
            "telephone_number": "231-709-0045",
            "fax_number": "231-421-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 S GARFIELD AVE",
            "address_2": "SUITE 1",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863456",
            "telephone_number": "231-709-0045",
            "fax_number": "231-421-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSH",
        "first_name": "REBECCA",
        "middle_name": "SALLEE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-25",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "MARSHALL",
            "middle_name": "SALLEE",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer L Rostamabadi-Cook, D.O.
• Katherine A Roth, MD
• Sara L Roth, MD
• Jill Rountree, LMSW
• Kristine L Roush, MSPT
• Nathan Rousse, C.N.P.
• Donald Edward Routzahn, RPH
• Emily Elise Ruby, LPC
• Joshua Michael Ruch, M.D.
• Lyndsay Kay Ruckle, DPT

• Physical Therapist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.