SAMUEL BENJAMIN ROTH LAT, ATC
NPI 1497415731
Physical Therapist - Sports in Sugar Land, TX

Q: What is Samuel Roth's NPI number?

The NPI number for Samuel Roth is 1497415731. It was assigned to this individual provider in the NPPES registry on December 28, 2021.

Q: What is Samuel Roth's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Roth was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 December 28, 2021

17520 W GRAND PKWY S STE 100, SUGAR LAND, TX 77479(281) 725-5895 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 18, 2022, Feb 18, 2022, Dec 28, 2021 (3 updates tracked since 2021).

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About Samuel Benjamin Roth Lat, Atc NPPES

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

SAMUEL BENJAMIN ROTH LAT, ATC (NPI 1497415731) is an individual sports provider in Sugar Land, Texas, licensed in Texas (1357064) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1497415731

Entity TypeIndividualMale

Primary Taxonomy2251S0007X

Provider Legal NameSAMUEL BENJAMIN ROTHCredential: LAT, ATC

Location Address17520 W GRAND PKWY S STE 100Sugar Land, TX 77479-4759

Mailing Address3505 W Sam Houston Pkwy S Apt 5404Houston, TX 77042-2151 · (402) 469-1006

Phone(281) 725-5895

Sole ProprietorNo

Enumeration DateDecember 28, 2021

Last NPPES UpdateAugust 18, 20223 updates tracked since enumeration

NPPES CertifiedAugust 18, 2022

✔ NPI 1497415731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251S0007X

License✔ Licensed in TX · 1357064

Definition

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.

Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License 1357064 (TX)

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License AT8549 (TX)

17520 W GRAND PKWY S STE 100, Sugar Land, TX 77479

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Other Identifiers 1

OtherAT8549TX · At License

Other Providers at the Same Location NPPES 5

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

SIENNA KAHLDEN PT, DPT

Physical Therapist