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

Mary C. Roth, MSPT

Individual provider Physical Therapist · NPI 1629089693

Mary C. Roth, MSPT is a Physical Therapist in Private Practice in Prescott Valley, Arizona. Qualified in 1999, 27 years ago. Practices with Davis Orthopaedics, a 7-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
27
Licensed in
CO
In the registry since
2006
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Practice location Address checks out

3221 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone: (928) 910-7010
Fax: (928) 910-7011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 7074 (CO)

Record details

NPI number1629089693
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPT
Sole proprietorNo
NPI enumeratedAugust 11, 2006
Last updated in NPPESFebruary 24, 2023
Certification dateFebruary 24, 2023
Mailing address2835 Dublin Blvd, Colorado Springs, CO 80918-1662

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Davis Orthopaedics — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Prescott Valley