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

Johnathan Derek Roarke, PTA

Individual provider Non-emergency Medical Transport (VAN) · NPI 1760369862

Johnathan Derek Roarke, PTA is a Non-emergency Medical Transport (VAN) in Bowling Green, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

116 Phelps Ct
Bowling Green, KY 42104-7444
Phone: (270) 935-8077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X · Licence 42526 (KY)

Record details

NPI number1760369862
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 19, 2025
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing address116 Phelps Ct, Bowling Green, KY 42104-7444

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