Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jan Rey Roa

Individual provider Physical Therapist · NPI 1508494139

Jan Rey Roa is a Physical Therapist in Peoria, Arizona. Practices as a sole proprietor. Licensed in Arizona, California and New Jersey.

Licensed in
AZ, CA, NJ
In the registry since
2020
Specialties on file
3

Practice location Address checks out

10236 W Puget Ave
Peoria, AZ 85345-7351
Phone: (510) 440-1383
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence CP044874T (NJ)
Physical Therapist Taxonomy 225100000X · Licence PT293641 (CA)
Physical Therapist Taxonomy 225100000X · Licence LPT-32043 (AZ)

Record details

NPI number1508494139
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 30, 2020
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025
Mailing address10236 W Puget Ave, Peoria, AZ 85345-7351

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