Nicole Roach, PTA, LMT
NPI 1275004210 · Physical Therapy Assistant · Jefferson City, MO
Nicole Roach, PTA, LMT is a Physical Therapy Assistant provider in Jefferson City, MO (NPI 1275004210).
Provider details
- NPI number
- 1275004210
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA, LMT
- Sex
- Female
- Sole proprietor
- No
- License
- 2018037409 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-12-17
- Last updated
- 2018-12-17
Frequently asked questions
- What is Nicole Roach's NPI number?
- Nicole Roach's National Provider Identifier (NPI) is 1275004210, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Roach's specialty?
- Nicole Roach is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Nicole Roach located?
- Nicole Roach's practice location on file with NPPES is 1720 Vieth Dr, Jefferson City, MO 65109-2056.
- What is Nicole Roach's phone number?
- The practice phone number listed in the NPPES registry for Nicole Roach is (573) 635-6139.
- Is Nicole Roach's NPI active?
- Yes — Nicole Roach's NPI (1275004210) is active in the NPPES registry as of the last update on 2018-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.