MRS. DEANN LYNN ROACH (NPI# 1912119165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912119165 |
| Entity Type | Individual |
| Full Name | MRS. DEANN LYNN ROACH |
| Credential | M.S. P.T. |
| Practice Address |
111 Lagrue Sherwood AR 72120 |
| Practice Telephone | 5017791286 |
| Mailing Telephone | 5017791286 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1467 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS BLUE SHIELD | 5T318 | 01 |
| Street Address |
111 LAGRUE |
| City | SHERWOOD |
| State | AR |
| Zip Code | 72120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215409818 | Mary Kaye Hill | Physical Therapist | 6020 Warden Road, Sherwood, AR 72120 | 2018-12-20 |
| 1043714694 | Healthcare Express, LLP | Clinic/Center | 1554 Country Club Road, Sherwood, AR 72120 | 2018-03-20 |
| 1265957690 | Darryl Nathaniel Griffith | Massage Therapist | 9871 Brockington Road, Suite #1, Sherwood, AR 72120 | 2017-08-07 |
| 1669841011 | Sarah Katherine Stephenson | Pharmacist | 102 Brockington Rd, Sherwood, AR 72120 | 2015-09-16 |
| 1063803328 | The Legacy for Children and Families | Counselor | 190 Jan Drive, Suite #10, Sherwood, AR 72120 | 2015-02-09 |
| 1417297235 | Andrew Hunter Beavers | Counselor | 37 Walton Rd., Sherwood, AR 72120 | 2013-02-15 |
| 1003156886 | Infinity Hearing Center Inc. | Hearing Aid Equipment | 3115 E Kiehl Ave, Suite B, Sherwood, AR 72120 | 2013-02-15 |
| 1548543234 | Lorrie Ann George | Early Intervention Provider Agency | 207 Fred Rains Drive, Sherwood, AR 72120 | 2011-09-20 |
| 1033411897 | Tessa Monique Davis | Occupational Therapist | 21 Gunstock Lane, North Little Rock, AR 72120 | 2010-11-30 |
| 1720307903 | Yousef Arfan Fahoum | Psychologist | 2215 Wildwood Ave Ste 200, Sherwood, AR 72120 | 2010-05-27 |
| Find all providers in zip 72120 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467804773 | Rebecca D. Sander | Physical Therapist | 17113 Sw Green Heron Dr, Sherwood, OR 97140-8972 | 2016-07-11 |
| 1780918441 | Danielle Permenter | Physical Therapist | 297 W Kiehl Ave, Sherwood, AR 72120-2815 | 2009-09-29 |
| 1528219052 | Magnolia Rehab Services | Physical Therapist | 297 W Kiehl Ave, Sherwood, AR 72120-2815 | 2008-10-02 |
| 1255500252 | Playtime Childrens Therapies, LLC | Physical Therapist | 297 W Kiehl Ave, Sherwood, AR 72120-2815 | 2008-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205346111 | Rehabilitation Network Outpatient Services LLC | Physical Therapist | 93 Roden Mill Rd, Conway, AR 72032-9555 | 2017-10-05 |
| 1891152435 | Tamara Fowler | Physical Therapist | 8319 Geyer Springs Rd, Little Rock, AR 72209-4945 | 2016-01-27 |
| 1285001487 | Jennifer Lynne Hallam | Physical Therapist | 1100 Division St Ste 3, Prairie Grove, AR 72753-5501 | 2015-08-24 |
| 1780069476 | Edith Areli Molina Amaya | Physical Therapist | 2819 W Hillshire Dr, Fayetteville, AR 72704-5137 | 2015-07-23 |
| 1740683044 | Jeremy Riddle | Physical Therapist | 4 Downwind Ave, Greenbrier, AR 72058-9815 | 2014-09-30 |
| 1730470998 | Stefanie Hines Schumacher | Physical Therapist | 48 Colt Square, Fayetteville, AR 72703-2813 | 2011-04-22 |
| 1497088918 | Shawna Walter | Physical Therapist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2009-09-16 |
| 1316199540 | Nancy Renee George | Physical Therapist | 2571 Indian Oaks Trl, Springdale, AR 72762-2592 | 2008-10-21 |
| 1396900676 | Jolynn Pickens | Physical Therapist | 7312 Geronimo Cir, North Little Rock, AR 72116-4363 | 2008-07-25 |
| 1245491224 | The Therapy Spot,llc | Physical Therapist | 3130 Market St., Fayetteville, AR 72703-7519 | 2008-06-22 |
| 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.