MEDICARE: ALLISON LA ROACH

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	11907	CO

General Provider Information

NPI Number	:	1730439308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON LA ROACH

Provider Business Mailing Address
First Line	:	PO BOX 392977
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-9977
Country	:	US
Telephone Number	:	724-343-4060
Fax Number	:

Provider Business Practice Location Address
First Line	:	10450 PARK MEADOWS DR STE 103
Second Line	:
City	:	LONE TREE
State	:	CO
Zip	:	80124-5528
Country	:	US
Telephone Number	:	303-790-7877
Fax Number	:

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

Provider Enumeration Date	:	09/11/2012
Last Update Date	:	04/13/2026

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Directions to “ ALLISON LA ROACH ” Practice Location

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