Abigail Roth, PTA

Physical Therapy Assistant · Jackson, MO

Individual Active NPI

NPI number 1306726211

Practice location

1502 W Jackson Blvd
Jackson, MO 63755-3010
Phone
(573) 587-2520
Fax
(573) 243-3413

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NPI record

NPI
1306726211
Entity type
Individual (Type 1)
Enumeration date
September 3, 2025
Last updated
September 3, 2025
Certified
September 3, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 2024003805 MO

About Abigail Roth

Abigail Roth, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1502 W Jackson Blvd, Jackson, MO 63755-3010. The NPI number 1306726211 was assigned on September 3, 2025 and the record was last updated on September 3, 2025.

Abigail Roth lists a license in the registry: #2024003805 (MO) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Abigail Roth, PTA?

The NPI number is 1306726211.

What is the phone number of Abigail Roth?

The phone number listed for the practice location is (573) 587-2520.

Where is Abigail Roth located?

1502 W Jackson Blvd, Jackson, MO 63755-3010.

What is the taxonomy code for Abigail Roth?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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