Active NPI
Emily Roush, PT
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1992191878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17620
- Practice address
- 622 Raya CT
Charlotte, NC 28204-2763 - Phone
- (980) 224-3756
- NPI assigned
- Apr 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17620 | NC | Primary |
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | PT.015009 | OH |
Addresses
Primary practice location
622 Raya CT
Charlotte, NC 28204-2763
Mailing address
622 Raya CT
Charlotte, NC 28204-2763
Other practice location 1
339 E Maple St
North Canton, OH 44720-2593
Phone (330) 498-8200
Other practice location 2
7427 Matthews Mint Hill Rd
Mint Hill, NC 28227
Phone (980) 729-6525
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 |
|---|---|---|---|
| 17620 | NC | MD | Pharmacist |
| PT.015009 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Therapy and Wellness LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1538795380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1992191878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 RAYA CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 RAYA CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042763",
"telephone_number": "980-224-3756"
}
],
"practiceLocations": [
{
"address_1": "339 E Maple St",
"address_purpose": "LOCATION",
"city": "North Canton",
"state": "OH",
"postal_code": "447202593",
"country_code": "US",
"telephone_number": "330-498-8200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7427 Matthews Mint Hill Rd",
"address_purpose": "LOCATION",
"city": "Mint Hill",
"state": "NC",
"postal_code": "28227",
"country_code": "US",
"telephone_number": "980-729-6525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROUSH",
"first_name": "EMILY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-08",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "17620",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT.015009",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.