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

Mariah Roush, PTA

Individual provider Physical Therapy Assistant · NPI 1104424449

Mariah Roush, PTA is a Physical Therapy Assistant in Lake Havasu City, Arizona. Licensed in Arizona. Registered with an NPI since 2020.

Licensed in
AZ
In the registry since
2020
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

1948 Mesquite Ave Ste 101
Lake Havasu City, AZ 86403-5777
Phone: (928) 854-4776
Fax: (928) 854-4857
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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 PTA011894 (AZ)

Record details

NPI number1104424449
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 9, 2020
Last updated in NPPESOctober 9, 2020
Certification dateOctober 9, 2020

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