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Nicole Brook Roach, PTA, LMT

Physical Therapy Assistant in Jefferson City, MO · enumerated 2018.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275004210

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Registry record

Entity type Individual (Type 1)
Name Nicole Brook Roach
Credential PTA, LMT
Sex Female
Practice address 1720 Vieth Dr, Jefferson City, MO, 65109
Phone (573) 635-6139
Enumeration date Dec 17, 2018
Last updated in NPPES Dec 17, 2018

Taxonomy & licenses

225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2018037409 (MO) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Nicole Roach?
The National Provider Identifier (NPI) for Nicole Roach is 1275004210, a Type 1 (individual) record in the CMS NPPES registry.
Where does Nicole Roach practice?
The practice location on file with NPPES is in Jefferson City, MO. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-12-17.