STEVEN TIMOTHY ROTH (NPI# 1548821085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548821085 |
Entity Type | Individual |
Full Name | STEVEN TIMOTHY ROTH |
Credential | LMT |
Practice Address |
3990 Cherry Ave Ne Keizer OR 97303-4888 |
Mailing Address |
435 Larry Ave N Keizer OR 97303-5520 |
Practice Telephone | 5033649242 |
Mailing Telephone | 5038512868 |
Enumeration Date | 2019-06-25 |
Last Update Date | 2019-06-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 25121 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
435 Larry Ave N, Keizer, OR 973035520 | 5038512868 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225369937 | Steven A Roth | Psychologist | 5 Fir Ct, Oakland, NJ 07436-1840 | 2010-01-20 |
1780829796 | Steven J Roth | Physician Assistant | 4 Eric Rd, Mullica Hill, NJ 08062-9547 | 2008-12-04 |
1821254004 | Steven E Roth | Dentist | 138 Ne 2nd Ave, Suite200, Miami, FL 33132-2509 | 2008-08-06 |
1942323373 | Steven John Roth | Pharmacist | Rt 119 and York Avenue, Connellsville, PA 15425 | 2007-04-09 |
1922130921 | Steven J Roth | Specialist | 162 Whites Ln, Wheeling, WV 26003-1308 | 2007-03-12 |
1073606968 | Steven Roth | Psychologist | 80 Fifth Avenue, Suite 903b, New York, NY 10011 | 2006-10-02 |
1538123609 | Steven J Roth | Urology | 3265 Harbours Blvd, Waterford, MI 48328-4180 | 2006-04-14 |
1679578785 | Steven David Roth | Psychiatry & Neurology | 21 Bloomingdale Rd, White Plains, NY 10605-1504 | 2005-06-15 |
1477556421 | Steven S. Roth | Optometrist | 1107 Mantua Pike, Ste 722, Mantua, NJ 08051-1606 | 2005-05-23 |
1649625633 | Steven Gregory Roth | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, T4224 Mcn, Nashville, TN 37232-2380 | 2016-04-27 |
Street Address |
3990 CHERRY AVE NE |
City | KEIZER |
State | OR |
Zip Code | 97303-4888 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649750175 | Kristin Marie Barz | Behavioral Analyst | 4690 12th Ave Ne, Keizer, OR 97303 | 2018-08-15 |
1003359605 | Angela Rose Richard | Community Health Worker | 3410 Cherry Avenue Ne, Keizer, OR 97303 | 2016-11-30 |
1881146629 | Alma Denise Vera | Dental Hygienist | 5825 Shoreview Lane Ste C, Keizer, OR 97303 | 2016-10-27 |
1679919849 | Ramya Shyamala Kamath | Dentist | 4817 River Rd N, Keizer, OR 97303 | 2013-05-15 |
1356682041 | Teresa M Treinen | Physical Therapist | 190 Sandy Drive N, Keizer, OR 97303 | 2013-03-06 |
1598001844 | Eagle Eye Vision Care LLC | Optometrist | 4048 River Road North, Keizer, OR 97303 | 2012-12-13 |
1245590553 | Thora Jane Stacy | Dental Assistant | 2300 N.e. Lacncaster Dr., Salem, OR 97303 | 2012-05-21 |
1295028850 | Rodger Nordskog Magnuson | Pharmacist | 5452 River Road N., Keizer, OR 97303 | 2011-05-16 |
1326299843 | Douglas Scott Hamblin | Pediatrics | 5685 Inland Shores Way, Keizer, OR 97303 | 2008-10-02 |
1982870382 | Debra Kaye Lynch | Podiatrist | 4905 River Road N, Keizer, OR 97303 | 2008-05-06 |
Find all providers in zip 97303 |
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 |
---|---|---|---|---|
1396343182 | Loretta K Bliss | Massage Therapist | 1635 Chemawa Rd Ne, Keizer, OR 97303-3639 | 2020-10-13 |
1942837547 | Ashley Bly | Massage Therapist | 3700 River Rd N Ste 8, Keizer, OR 97303-5657 | 2020-03-24 |
1790324879 | Dustin Talbott | Massage Therapist | 6395 Keizer Station Blvd Ne Ste 103, Keizer, OR 97303-2305 | 2020-01-06 |
1205474038 | Kavika Ulrey | Massage Therapist | 3990 Cherry Ave Ne Ste 103, Keizer, OR 97303-4888 | 2019-12-11 |
1285142976 | Morgan Marie Spangrud | Massage Therapist | 4630 River Rd. N., Suite A, Keizer, OR 97303-9730 | 2018-01-16 |
1437668977 | Aaron Fields | Massage Therapist | 4470 River Rd N, Keizer, OR 97303-5553 | 2017-09-27 |
1326597279 | Mary Grosso | Massage Therapist | 4630 River Rd N Ste A, Keizer, OR 97303-4648 | 2016-10-03 |
1548614639 | Skyler Arnoux | Massage Therapist | 3905 River Rd N, Keizer, OR 97303-4890 | 2016-04-14 |
1922469659 | Billy Ray Wolf | Massage Therapist | 6629 Jacobe St Ne, Keizer, OR 97303-1193 | 2016-03-08 |
1063891356 | Leah Helen Derring | Massage Therapist | 473 Glynbrook St N, Keizer, OR 97303-5614 | 2015-05-20 |
Find all providers in KEIZER |
Please comment or provide details below to improve the information on STEVEN TIMOTHY ROTH.
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.