Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNATHAN DEREK ROARKE, PTA
Active Sole ProprietorJOHNATHAN DEREK ROARKE, PTA is a Bus healthcare provider located in BOWLING GREEN, Kentucky. NPI 1760369862 is currently active in the NPPES registry. Verify at CMS.
Bus · BOWLING GREEN, KY
Registration Details
- NPI Number
- 1760369862
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2025 (0.9755107358796 yrs)
- Last Updated
- Aug 19, 2025
- License
-
42526 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
116 PHELPS CTBOWLING GREEN, KY, 421047444Browse KY providers · Browse ZIP 42104
- Phone
- 2709358077
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in BOWLING GREEN, KY
| Name | Credential | NPI |
|---|---|---|
| RASIM AHMETOVIC | — | 1427452861 |
| GATWECH CHUOL MANGUET | — | 1376198663 |
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.