Keith Duane Rozell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

470 Issued in WV

Practice address

1008 Tavern Rd Ste 200
Martinsburg, WV 25401-2801

Phone

(304) 267-0866

Fax

(304) 267-8348

NPI assigned

Nov 23, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1952068116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12104 TWO TOP RD",
            "city": "MERCERSBURG",
            "state": "PA",
            "postal_code": "172369733",
            "telephone_number": "717-328-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 TAVERN RD STE 200",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012801",
            "telephone_number": "304-267-0866",
            "fax_number": "304-267-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZELL",
        "first_name": "KEITH",
        "middle_name": "DUANE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A5066",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Roush-Samples
• Jason Curry Roush, DPT
• Angel Lynne Routzahn
• Iris J Rowe, PA-C
• Annabelle Jean Rowland
• RPSM LLC
• Jacqueline Ann Ruckman
• Karen Jon Rudolph, MD
• Deanna Rudy
• Michelle Ruffner

• Physical Therapy Assistant in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Physical Therapy Assistant in West Virginia

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