Mrs Kristi Roth, OT is a
Occupational Therapist based in Dale City, Virginia. Mrs Kristi Roth is licensed to practice in Virginia (license number 0119000443) and her current practice location is
2950 Dale Blvd, Dale City, Virginia. She can be reached at her office (for appointments etc.) via phone at
(703) 583-1222.
NPI number for Mrs Kristi Roth is 1326105719 and her current mailing address is 1812 Efty Ct, Woodbridge, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326105719.
Healthcare Provider's Profile
| Full Name | Mrs Kristi Roth |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 2950 Dale Blvd, Dale City, Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1326105719
- Provider Enumeration Date: 01/03/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Kristi Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326105719 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 0119000443 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kristi Roth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Kristi Roth, OT
1812 Efty Ct,
Woodbridge, VA 22191-4509
Ph: (703) 583-2431 | Mrs Kristi Roth, OT
2950 Dale Blvd,
Dale City, VA 22193-1120
Ph: (703) 583-1222 |
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