Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MATTHEW D ROTH
Active
Individual
MATTHEW D ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60963961
WA
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT60963961
WA PHYSICAL THERAPY LICENSE
WA
Enumeration date
06/11/2019
Last updated
07/02/2019
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