COURTNEY MARIE ROACH (NPI# 1528522737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528522737 |
Entity Type | Individual |
Full Name | COURTNEY MARIE ROACH |
Credential | PT, DPT |
Practice Address |
919 109th Ave Ne Bellevue WA 98004-4485 |
Mailing Address |
2134 Western Ave Unit 515 Seattle WA 98121-4086 |
Practice Telephone | 4252338766 |
Mailing Telephone | 7656248361 |
Enumeration Date | 2019-01-22 |
Last Update Date | 2019-01-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
PT60863092 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT60863092 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT60863092 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487200945 | Courtney Roach | Nurse Practitioner | 9500 Euclid Ave # J4-331, Cleveland, OH 44195-0001 | 2019-08-12 |
1194296327 | Courtney Anne Roach | Physician Assistant | 450 N Graham St, Portland, OR 97227-1682 | 2018-12-16 |
Street Address |
919 109TH AVE NE |
City | BELLEVUE |
State | WA |
Zip Code | 98004-4485 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992747729 | Fountains Bellevue Sl, LLC | Skilled Nursing Facility | 919 109th Ave Ne, Bellevue, WA 98004-4485 | 2006-06-13 |
1538776372 | Meredith Peterson | Occupational Therapist | 919 109th Ave Ne, Bellevue, WA 98004-4485 | 2020-09-25 |
1235743014 | Dayna J Talley | Occupational Therapist | 919 109th Ave Ne, Bellevue, WA 98004-4485 | 2020-08-31 |
1265942874 | Christie L Shin | Speech-Language Pathologist | 919 109th Ave Ne, Bellevue, WA 98004-4485 | 2017-10-10 |
1487028692 | Jenna Marie Jue | Occupational Therapist | 919 109th Ave Ne, Bellevue, WA 98004-4485 | 2015-11-26 |
1588043020 | Independence Rehab LLC | Skilled Nursing Facility | 919 109th Ave Ne, Bellevue, WA 98004-4485 | 2015-05-28 |
1083093843 | Shu-min Lin | Occupational Therapist | 919 109th Ave Ne, Bellevue, WA 98004-4485 | 2015-05-27 |
1396124384 | Emily Ruth Dosland | Physical Therapist | 919 109th Ave Ne, Bellevue, WA 98004-4485 | 2015-05-22 |
1023496114 | Watemark Bellevue, LLC | Skilled Nursing Facility | 919 109th Ave Ne, Bellevue, WA 98004-4485 | 2015-05-11 |
1033597059 | Watermark Bellevue, LLC | Skilled Nursing Facility | 919 109th Ave Ne, Bellevue, WA 98004-4485 | 2015-05-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
Find all providers in zip 98004 |
Taxonomy Code | 2251G0304X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Geriatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639724677 | Lydia Katherine Moore | Physical Therapist | 1702 Hillcrest Dr, Bellevue, NE 68005-3652 | 2019-08-06 |
1285042820 | Hannah Behrens | Physical Therapist | 1804 Hillcrest Dr, Bellevue, NE 68005-3663 | 2014-07-28 |
1871843979 | Donna Marie Holzhauer | Physical Therapist | 2424 156th Ave Ne, Bellevue, WA 98007-3814 | 2012-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740724475 | Aaron Scheidies | Physical Therapist | 2121 N 113th St, Unit A, Seattle, WA 98133-8502 | 2016-12-15 |
1255780961 | Kenneth James Overman | Physical Therapist | 17518 123rd Ave Ne, Crown Hill - Seven Springs, Arlington, WA 98223-7973 | 2016-06-03 |
1992127229 | Marissa Reis | Physical Therapist | 1211 Sw 132nd Ln Apt 412, Burien, WA 98146-4009 | 2014-01-06 |
1801226444 | Tracy Ann Grimes | Physical Therapist | 7231 Highlands Dr Ne, Olympia, WA 98516-2134 | 2013-11-18 |
1417391186 | Heather Elaine Sheppard | Physical Therapist | 1010 South 336th St, Suite 210, Federal Way, WA 98003 | 2013-04-24 |
1225338874 | Bothell Pediatric and Hand Therapy | Physical Therapist | 18501 Bothell Way Ne, Bothell, WA 98011 | 2010-10-29 |
1164754818 | Mary Delap Sandstrom | Physical Therapist | 956 21st Ave E, Seattle, WA 98112-3511 | 2010-02-05 |
1871829879 | Keri Poffel | Physical Therapist | 1309 S I St, Port Angeles, WA 98363-6830 | 2009-10-26 |
1518165372 | Debra Marie Robert | Physical Therapist | 835 Madison Ave North, Bainbridge Island, WA 98110 | 2007-07-03 |
1467540039 | Sharon Annette Hall | Physical Therapist | 14204 S Andrus Rd, Cheney, WA 99004-9059 | 2006-10-10 |
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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.