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

Owen Mackenzie Roll, PTA

Individual provider Physical Therapy Assistant · NPI 1053917278

Owen Mackenzie Roll, PTA is a Physical Therapy Assistant in Thornton, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
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

12080 Bellaire Way
Thornton, CO 80241-3600
Phone: (303) 450-2700
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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 PTA.0014924 (CO)

Record details

NPI number1053917278
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedDecember 11, 2020
Last updated in NPPESDecember 11, 2020
Certification dateDecember 11, 2020
Mailing address515 S 42nd St, Boulder, CO 80305-5906

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