Active NPI
Tommie Roesch, TBLV, COMS
- Orientation and Mobility Training Rehabilitation Counselor
- Indianapolis, IN
National Provider Identifier
1922669746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orientation and Mobility Training Rehabilitation Counselor
- License
- 21664
- Practice address
- 1100 W 42ND St Ste 228
Indianapolis, IN 46208-3300 - Phone
- (316) 698-7723
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orientation and Mobility Training Rehabilitation Counselor | 225CX0006X | 21664 | OH | Primary |
Addresses
Primary practice location
1100 W 42ND St Ste 228
Indianapolis, IN 46208-3300
Mailing address
1100 W 42ND St Ste 228
Indianapolis, IN 46208-3300
Phone (316) 698-7723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21664 | OH | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1922669746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 W 42ND ST STE 228",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462083300",
"telephone_number": "316-698-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W 42ND ST STE 228",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462083300",
"telephone_number": "316-698-7723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROESCH",
"first_name": "TOMMIE",
"credential": "TBLV, COMS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225CX0006X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Orientation and Mobility Training Provider",
"state": "OH",
"license": "21664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.