Individual provider · Type 1 NPI

Samuel Benjamin Roth, LAT, ATC

Sports Physical Therapist · Sugar Land, TX

NPI number 1497415731 Active

Practice location

17520 W Grand Pkwy S Ste 100
Sugar Land, TX 77479-4759

Mailing address

3505 W Sam Houston Pkwy S Apt 5404
Houston, TX 77042-2151

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Physical Therapist 2251X0800X1357064 (TX)
Athletic Trainer 2255A2300XAT8549 (TX)
Sports Physical Therapist Primary 2251S0007X1357064 (TX)

Sports Physical Therapist: 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, medica…

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About NPI 1497415731

Samuel Benjamin Roth, LAT, ATC's National Provider Identifier is 1497415731, issued on Dec 28, 2021. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Sugar Land, TX. The record was last updated on Aug 18, 2022.