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KELLY ANN ROTH CPO
NPI 1790209864
Orthotist in Crown Point, IN

Active since August 01, 2017
1450 E JOLIET ST STE 206, CROWN POINT, IN 46307(219) 801-3937(219) 301-8734 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2023, Jul 21, 2022, Aug 1, 2017 (3 updates tracked since 2017).

About Kelly Ann Roth Cpo NPPES

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

KELLY ANN ROTH CPO (NPI 1790209864) is an individual orthotist provider in Crown Point, Indiana, licensed in Illinois (213000351) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1790209864
Entity TypeIndividualFemale
Primary Taxonomy222Z00000X
Provider Legal NameKELLY ANN ROTHCredential: CPO
Location Address1450 E JOLIET ST STE 206Crown Point, IN 46307-4726
Mailing Address1450 E Joliet St Ste 206Crown Point, IN 46307-4726 · (219) 801-3937 · Fax (219) 301-8734
Phone(219) 801-3937
Fax(219) 301-8734
Sole ProprietorNo
Enumeration DateAugust 1, 2017
Last NPPES UpdateJuly 25, 20233 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
✔ NPI 1790209864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Z00000X
License✔ Licensed in IL · 213000351
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Also ListedProsthetistTaxonomy 224P00000X · License 211000319 (IL)
1450 E JOLIET ST STE 206, Crown Point, IN 46307
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Other Providers at the Same Location NPPES

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

CROWN CRANIAL & ORTHOTICS, LLC
Prosthetic/Orthotic Supplier
1450 E JOLIET ST STE 206
CROWN POINT, IN 46307
Lake County (219) 801-3937

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Roth's NPI number?

The NPI number for Kelly Roth is 1790209864. It was assigned to this individual provider in the NPPES registry on August 1, 2017.

Where is Kelly Roth located?

Kelly Roth practices at 1450 E Joliet St Ste 206, Crown Point, IN 46307. The listed phone number is (219) 801-3937.

What is Kelly Roth's specialty?

The primary specialty registered for this NPI is Orthotist with taxonomy code 222Z00000X.

When was this NPI record last updated?

The NPPES record for Kelly Roth was last updated on July 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.