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

Mason Keith Roach

Individual provider Physical Therapy Assistant · NPI 1568691616

Mason Keith Roach is a Physical Therapy Assistant in Tavares, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2009

Practice location Address checks out

2762 Dora Ave
Tavares, FL 32778-4970
Phone: (352) 742-7837
Fax: (352) 742-7837
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA 20936 (FL)

Record details

NPI number1568691616
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 10, 2009
Last updated in NPPESJuly 10, 2009
Mailing address37015 Ranch Rd, Eustis, FL 32736-8413

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