Kimberly Genea Roe, MS, OTR/L

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

015753 Issued in NY

Practice address

278 Route 32
Central Valley, NY 10917-3226

Phone

(845) 742-8721

NPI assigned

Aug 23, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1932876554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 EAGLES WATCH",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109902887",
            "telephone_number": "845-742-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 ROUTE 32",
            "city": "CENTRAL VALLEY",
            "state": "NY",
            "postal_code": "109173226",
            "telephone_number": "845-742-8721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Eagles Watch",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "NY",
            "postal_code": "109902887",
            "country_code": "US",
            "telephone_number": "845-742-8721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROE",
        "first_name": "KIMBERLY",
        "middle_name": "GENEA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "015753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roek@mw.k12.ny.us",
            "affiliation": "N",
            "address_1": "278 Route 32",
            "city": "Central Valley",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109173226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Seth H Pulver, D.D.S
• Melissa Rallo, REGISTERED NURSE
• Roberto Ramirez Jr.
• Carrie Regan
• Michele M Riddell, MSSPED
• Niki Lee Rowe, LMHC
• Marie Camy Saint-Preux, REGISTERED NURSE
• Jenna Santoro
• Beth Tami Schoen
• Kathleen Scully

• Physical Medicine & Rehabilitation Physician in Central Valley, NY
• Providers in Central Valley, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.