Individual provider · Type 1 NPI

Abigail Roth, PTA

Physical Therapy Assistant · Jackson, MO

NPI number 1306726211 Active

Practice location

1502 W Jackson Blvd
Jackson, MO 63755-3010

Call (573) 587-2520 Map

Fax (573) 243-3413

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2024003805 (MO)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1306726211

Abigail Roth, PTA's National Provider Identifier is 1306726211, issued on Sep 3, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Jackson, MO. The record was last updated on Sep 3, 2025.