Individual provider Active NPI

Nadine Elyse Rolles, MSPT

  • Physical Therapist
  • Plains, PA
National Provider Identifier
1114951803
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018079 Issued in PA
Practice address
220 S River St
C/O Adult Servies Unlimited T/a Riverside Rehab
Plains, PA 18705-1137
Phone
(570) 824-3444
Fax
(570) 824-4021
NPI assigned
Jul 10, 2006
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT018079 PA Primary

Addresses

Primary practice location

220 S River St
C/O Adult Servies Unlimited T/a Riverside Rehab
Plains, PA 18705-1137

Mailing address

220 S River St
C/O Adult Servies Unlimited T/a Riverside Rehab
Plains, PA 18705-1137
Phone (570) 824-3444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230626002732 PA Practitioner - Physical Therapist in Private Practice 6901225598 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT018079PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
H2 Health and Rehabilitation Services, LLC Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
H2 Health and Rehabilitation Services, LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

80 N Mountain Blvd
Mountain Top, PA 18707
Phone (570) 474-1171

220 S River St
Plains, PA 18705
Phone (570) 824-3444

504 Hazle St
Ste 506
Wilkes Barre, PA 18702

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1114951803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S RIVER ST",
            "address_2": "C/O ADULT SERVIES UNLIMITED T/A RIVERSIDE REHAB",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051137",
            "telephone_number": "570-824-3444",
            "fax_number": "570-824-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S RIVER ST",
            "address_2": "C/O ADULT SERVIES UNLIMITED T/A RIVERSIDE REHAB",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051137",
            "telephone_number": "570-824-3444",
            "fax_number": "570-824-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLES",
        "first_name": "NADINE",
        "middle_name": "ELYSE",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plains, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.