MEDICARE: DR. CIARA LYNN ROCHE PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	P24159	NC

General Provider Information

NPI Number	:	1609737485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CIARA LYNN ROCHE PT, DPT

Provider Business Mailing Address
First Line	:	600 S DUKE ST UNIT 32
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27701-3397
Country	:	US
Telephone Number	:	732-535-4519
Fax Number	:

Provider Business Practice Location Address
First Line	:	2121 E WILLIAMS ST # 108B
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27539-7764
Country	:	US
Telephone Number	:	919-372-8412
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2025
Last Update Date	:	11/20/2025

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