ALEXANDRA ROQUE ATC
NPI 1104536663
Specialist/Technologist - Athletic Trainer in Freehold, NJ

Q: What is Alexandra Roque's NPI number?

The NPI number for Alexandra Roque is 1104536663. It was assigned to this individual provider in the NPPES registry on November 24, 2022.

Q: What is Alexandra Roque's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Alexandra Roque was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 24, 2022

210 MOUNTS CORNER DR, FREEHOLD, NJ 07728(732) 538-8561 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2025, Sep 24, 2024, Nov 24, 2022 (3 updates tracked since 2022).

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About Alexandra Roque Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA ROQUE ATC (NPI 1104536663) is an individual athletic trainer provider in Freehold, New Jersey, licensed in New Jersey (25MT00334400) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1104536663

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameALEXANDRA ROQUECredential: ATC

Location Address210 MOUNTS CORNER DRFreehold, NJ 07728-2547

Mailing Address1455 Broad St Ste 250Bloomfield, NJ 07003-3066 · (877) 532-7837

Phone(732) 538-8561

Sole ProprietorNo

Enumeration DateNovember 24, 2022

Last NPPES UpdateMarch 13, 20253 updates tracked since enumeration

NPPES CertifiedMarch 13, 2025

✔ NPI 1104536663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in NJ · 25MT00334400

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

210 MOUNTS CORNER DR, Freehold, NJ 07728

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDRA SACCO

Occupational Therapist