Shawn Kevin Roach (NPI# 1508802851, PAC ID# 3476538091) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1508802851 |
| PAC ID by PECOS | 3476538091 |
| Professional Enrollment ID | I20040623000907 |
| Full Name | Shawn Kevin Roach |
| Organization Legal Name | CENTRAL PHYSICAL REHABILITATION AND SPORTS MEDICINE, LLC |
| Address |
407 E Russell Ave Bldg A Suite 6 Warrensburg MO 64093-1242 |
| Phone Number | 6604294700 |
| Gender | M |
| Credential | PT |
| Graduation Year | 1987 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4486639093 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 407 E Russell Ave Bldg A, Suite 6, Warrensburg, MO 64093-1242 | 6604294700 | CENTRAL PHYSICAL REHABILITATION AND SPORTS MEDICINE, LLC |
| Organization Legal Name | CENTRAL PHYSICAL REHABILITATION AND SPORTS MEDICINE, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Ronck | Physical Therapy | Central Physical Rehabilitation and Sports Medicine, LLC | 407 E Russell Ave Bldg A, Suite 6, Warrensburg, MO 64093-1242 |
| Haley Dawn Burnside | Physical Therapy | Central Physical Rehabilitation and Sports Medicine, LLC | 407 E Russell Ave Bldg A, Suite 6, Warrensburg, MO 64093-1242 |
| Street Address |
407 E RUSSELL AVE BLDG A SUITE 6 |
| City | WARRENSBURG |
| State | MO |
| Zip | 64093-1242 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Ronck | Physical Therapy | Central Physical Rehabilitation and Sports Medicine, LLC | 407 E Russell Ave Bldg A, Suite 6, Warrensburg, MO 64093-1242 |
| Haley Dawn Burnside | Physical Therapy | Central Physical Rehabilitation and Sports Medicine, LLC | 407 E Russell Ave Bldg A, Suite 6, Warrensburg, MO 64093-1242 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lincoln R Nowlin | Podiatry | 521 E Young St, Warrensburg, MO 64093-1228 | |
| Chelsea Nicole Mccoy | Occupational Therapy | Serc Rehabilitation Partners LLC | 540 E Young Ave, Serc Warrensburg, Warrensburg, MO 64093-1231 |
| William Robert Simons | Physical Therapy | Serc Rehabilitation Partners LLC | 540 E Young Ave, Serc Warrensburg, Warrensburg, MO 64093-1231 |
| Emmanuel Erwin Villaflor | Physical Therapy | Serc Rehabilitation Partners LLC | 540 E Young Ave, Serc Warrensburg, Warrensburg, MO 64093-1231 |
| Kelsi Lyn Bennett | Physical Therapy | Serc Rehabilitation Partners LLC | 540 E Young Ave, Serc Warrensburg, Warrensburg, MO 64093-1231 |
| Lauren Elizabeth Michael | Physical Therapy | Serc Rehabilitation Partners LLC | 540 E Young Ave, Serc Warrensburg, Warrensburg, MO 64093-1231 |
| Jessica Nguyen | Occupational Therapy | Serc Rehabilitation Partners LLC | 540 E Young Ave, Serc Warrensburg, Warrensburg, MO 64093-1231 |
| Amanda Jean Wakeman | Physical Therapy | Serc Rehabilitation Partners LLC | 540 E Young Ave, Serc Warrensburg, Warrensburg, MO 64093-1231 |
| Davielle Justine Mccoy | Physical Therapy | Serc Rehabilitation Partners LLC | 540 E Young Ave, Serc Warrensburg, Warrensburg, MO 64093-1231 |
| Brandon Keith Fletcher | Physical Therapy | Serc Rehabilitation Partners LLC | 540 E Young Ave, Serc Warrensburg, Warrensburg, MO 64093-1231 |
| Find all physicians in zip 64093 | |||
| City | WARRENSBURG |
| Zip Code | 64093 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | WARRENSBURG + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.