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

Marcus Roach

Individual provider Physical Therapy Assistant · NPI 1467970319

Marcus Roach is a Physical Therapy Assistant in Charleston, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
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Practice location Address checks out

912 Oakcrest Dr Apt D
Charleston, IL 61920
Phone: (217) 208-1415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.007167 (IL)

Record details

NPI number1467970319
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 30, 2017
Last updated in NPPESAugust 30, 2017
Mailing address912 Oakcrest Dr Apt D, Charleston, IL 61920-1780

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