Holly Roth, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5892 Issued in NM

Practice address

126 S Canyon St
Carlsbad, NM 88220-5733

Phone

(575) 628-0503

Fax

(575) 628-3073

NPI assigned

Jun 14, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1972171163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2860",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883112860",
            "telephone_number": "575-437-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S CANYON ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205733",
            "telephone_number": "575-628-0503",
            "fax_number": "575-628-3073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Mahone Dr",
            "address_purpose": "LOCATION",
            "city": "Artesia",
            "state": "NM",
            "postal_code": "882102046",
            "country_code": "US",
            "telephone_number": "575-746-2566",
            "fax_number": "575-746-6260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2351 Indian Wells Rd",
            "address_purpose": "LOCATION",
            "city": "Alamogordo",
            "state": "NM",
            "postal_code": "883104607",
            "country_code": "US",
            "telephone_number": "575-437-3351",
            "fax_number": "575-437-2622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "HOLLY",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT5892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Wilson Rogers
• Amy M Rollins
• Roper'S Health Oasis
• Michelle E. Rosales
• Hayden C Rose, PT, DPT
• Javiel Fernando Rowe, LMSW
• Raymond P Rubio, ABOC
• Andrea F Ruenger, CSAC, LPC-IT
• Ana J. Ruiz, LBSW
• Mattie Runyan

• Physical Therapist in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.