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SAMUEL BENJAMIN ROTH LAT ATC NPI 1497415731


NPI Information

NPI: 1497415731
Provider Name: SAMUEL BENJAMIN ROTH, LAT, ATC
Classification: Physical Therapist - 2251S0007X
Entity Type: Individual

Specialization: Sports

Address:
17520 W GRAND PKWY S STE 100
SUGAR LAND, TX
ZIP 77479
Phone: (281) 725-5895
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Samuel Benjamin Roth, LAT, ATC is a sports physical therapist in Sugar Land, TX. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. Samuel Benjamin Roth, LAT, ATC NPI is 1497415731. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17520 W GRAND PKWY S STE 100
SUGAR LAND, TX
ZIP 77479-759
Phone: (281) 725-5895

The enumeration date for this NPI number is 12/28/2021 and was last updated on 8/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251X0800XPhysical TherapistOrthopedic1357064TEXASNo
22255A2300XSpecialist/TechnologistAthletic TrainerAT8549TEXASNo
32251S0007XPhysical TherapistSports1357064TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AT8549OTHERTEXASAT LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.