Individual provider Active NPI

William C Rolle III, DPT

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1124098090
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16728 Issued in MD
Practice address
15201 Shady Grove Rd
Suite 106
Rockville, MD 20850-3217
Phone
(301) 948-4395
Fax
(301) 840-8972
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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 16728 MD Primary

Addresses

Primary practice location

15201 Shady Grove Rd
Suite 106
Rockville, MD 20850-3217

Mailing address

15201 Shady Grove Rd
Suite 106
Rockville, MD 20850-3217
Phone (301) 948-4395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1124098090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15201 SHADY GROVE RD",
            "address_2": "SUITE 106",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503217",
            "telephone_number": "301-948-4395",
            "fax_number": "301-840-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15201 SHADY GROVE RD",
            "address_2": "SUITE 106",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503217",
            "telephone_number": "301-948-4395",
            "fax_number": "301-840-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLE",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "name_suffix": "III",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "16728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.