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

Mark W Roshell, MSPT

Individual provider Physical Therapist · NPI 1457460107

Mark W Roshell, MSPT is a Physical Therapist in Private Practice in Fenton, Missouri. Qualified in 1992, 34 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
34
Licensed in
MO
In the registry since
2006
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Practice location Address checks out

784 Gravois Bluffs Blvd
Fenton, MO 63026-7726
Phone: (636) 349-8060
Fax: (636) 349-9171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 552 Old Smizer Mill Rd, Fenton, MO 63026 — (636) 349-8060

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 102416 (MO)

Record details

NPI number1457460107
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESJune 3, 2019
Mailing address600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fenton