Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN S ROTH
ActiveBENJAMIN S ROTH is a Physical Therapy Assistant healthcare provider located in LE ROY, Illinois. NPI 1124618046 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LE ROY, IL
Registration Details
- NPI Number
- 1124618046
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2021 (5.5543439495115 yrs)
- Last Updated
- Jan 25, 2021
Practice Information
- Address
-
200 E CEDAR ST STE 3LE ROY, IL, 617521903Browse IL providers · Browse ZIP 61752
- Phone
- 3099623240
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LE ROY, IL
| Name | Credential | NPI |
|---|---|---|
| AUTUMN GILLIBRAND | DPT | 1407237936 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.