MR. TIMOTHY MICHAEL ROACH (NPI# 1407415367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407415367 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY MICHAEL ROACH |
| Credential | LMT. |
| Practice Address |
544 Main St Apt 4 Beacon NY 12508-2861 |
| Practice Telephone | 6314563659 |
| Mailing Telephone | 6314563659 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 025347 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104203397 | Timothy Louis Roach | Internal Medicine | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2015-04-27 |
| 1013328913 | Timothy Roach | Pediatrics | 500 University Dr, Hershey, PA 17033-2360 | 2014-05-13 |
| Street Address |
544 MAIN ST APT 4 |
| City | BEACON |
| State | NY |
| Zip Code | 12508-2861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520248 | Hudson Valley Radiologists, PC | Radiology | 89 Mason Circle, Bldg 11 Apt# 219, Beacon, NY 12508 | 2020-05-21 |
| 1255973905 | Kristina Lee Howard | Social Worker | Beacon Wellness Center Pros, 451 Fishkille Ave, Beacon, NY 12508 | 2019-10-15 |
| 1356859276 | Katie Uwa Ngbodi | Nurse Practitioner | Fishkill Correctional Facililty, 18 Strack Drive, Beacon, NY 12508 | 2018-01-12 |
| 1083120646 | Shenay Monique Hunter | Licensed Practical Nurse | 5 Crossway Road, Beacon, NY 12508 | 2017-12-19 |
| 1144759549 | Jennylyn Tangonan Escritor | Licensed Practical Nurse | 32 Sycamore Drive, Beacon, NY 12508 | 2017-06-08 |
| 1316333297 | Prospect Dental, PC | Clinic/Center | 288th Main Street, Beacon, NY 12508 | 2015-04-08 |
| 1700019213 | Cyril Mansperger | Dentist | 535 Route 52, Beacon, NY 12508 | 2009-08-31 |
| 1760521231 | Patrick M Malouf Dc PC | Chiropractor | 1181 North Ave, Beacon, NY 12508 | 2007-02-05 |
| 1063505196 | Hongli Wang | Dentist | 1020 Walcott Ave, Beacon, NY 12508 | 2006-10-02 |
| 1891705729 | Jane Mcelduff | Dentist | 616 Route 52, Beacon, NY 12508 | 2006-08-09 |
| Find all providers in zip 12508 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772694 | Enrique Gonzalez | Massage Therapist | 9 Hammond Plz, Beacon, NY 12508-3139 | 2020-08-28 |
| 1932664141 | Angelique Bernadette Devlin | Massage Therapist | 60 W Center St # 1, Beacon, NY 12508-3250 | 2019-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861354 | Stephen Quinn | Massage Therapist | 72 Steuben Rd, Garrison, NY 10524-7417 | 2020-11-06 |
| 1750982567 | Moises Payero | Massage Therapist | 407 Beach 20th St Apt 3b, Far Rockaway, NY 11691-3638 | 2020-11-06 |
| 1447851589 | Emily Nicole Bagnasco | Massage Therapist | 827 S 5th St, Lindenhurst, NY 11757-5625 | 2020-11-04 |
| 1053912162 | Chanel Marie Poole | Massage Therapist | 1234 Abbott Rd Ste 230, Lackawanna, NY 14218-1946 | 2020-11-04 |
| 1144821562 | Deping Song | Massage Therapist | 4002 Bowne St, #228, Flushing, NY 11354-6142 | 2020-11-03 |
| 1881295400 | Yoshiko Yamamoto | Massage Therapist | 4914 43rd Ave Apt 3, Woodside, NY 11377-4598 | 2020-11-02 |
| 1780285254 | Devante Quareed Thompson | Massage Therapist | 8944 Metropolitan Ave # 89-44, Rego Park, NY 11374-5331 | 2020-11-02 |
| 1396345062 | Amy Nadine Baker | Massage Therapist | 611 Broadway Rm 814, New York, NY 10012-0032 | 2020-10-30 |
| 1972102655 | Maria Carmen Tapia | Massage Therapist | 14749 72nd Dr Apt 3d, Flushing, NY 11367-2533 | 2020-10-22 |
| 1346849262 | Reddy for Acupuncture | Massage Therapist | 2807 Merrick Rd, Bellmore, NY 11710-5724 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.