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

Kelly Ann Roth, CPO

Individual provider Orthotist · NPI 1790209864

Kelly Ann Roth, CPO is an Orthotist in Crown Point, Indiana. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
Specialties on file
2

Practice location Address checks out

1450 E Joliet St Ste 206
Crown Point, IN 46307-4726
Phone: (219) 801-3937
Fax: (219) 301-8734
Show map & directions

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

Specialties & licences

Orthotist (primary) Taxonomy 222Z00000X · Licence 213000351 (IL)
Prosthetist Taxonomy 224P00000X · Licence 211000319 (IL)

Record details

NPI number1790209864
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPO
Sole proprietorNo
NPI enumeratedAugust 1, 2017
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023

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