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

Mr. Clay Roth, PTA

Individual provider Physical Therapy Assistant · NPI 1992466833

Mr. Clay Roth, PTA is a Physical Therapy Assistant in Robbinsdale, Minnesota. Registered with an NPI since 2022.

In the registry since
2022
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

4080 W Broadway Ave Ste 200
Robbinsdale, MN 55422-5606
Phone: (763) 398-8888
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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

Record details

NPI number1992466833
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 3, 2022
Last updated in NPPESJanuary 3, 2022
Certification dateJanuary 3, 2022
Mailing address592 Lincoln Ave Apt 1, Saint Paul, MN 55102-3197

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