Mary C. Roth, M.S.P.T.
NPI 1629089693ActiveIndividual· Physical Therapist· Prescott Valley, AZ
Physical Therapist (M.S.P.T.) with Davis Orthopaedics, practicing in Prescott Valley, Arizona. Medicare paid $45,288 for services to 68 patients in 2024.
Overview
| NPI | 1629089693 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S.P.T. |
| Sole proprietor | No |
| NPI issued | Aug 11, 2006 |
| Last updated in NPPES | Feb 24, 2023 |
| Certified by provider | Feb 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 7074 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 68 |
|---|---|
| Services billed | 2,320 across 13 procedure codes |
| Paid by Medicare | $45,288 |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Davis OrthopaedicsPrescott Valley, AZ · 7 clinicians
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