Individual provider Active NPI

Julie Marie Rotoli, MSPT

  • Orthopedic Physical Therapist
  • Webster, NY
National Provider Identifier
1134522907
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
027396-1 Issued in NY
Practice address
803 Ridge Rd
#A
Webster, NY 14580-2489
Phone
(585) 347-0202
NPI assigned
Oct 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 027396-1 NY Primary

Addresses

Primary practice location

803 Ridge Rd
#A
Webster, NY 14580-2489

Mailing address

63 Ashland Oaks Cir
Spencerport, NY 14559-1665
Phone (410) 688-6277

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

State licenses

LicenseStateTypeSpecialty
027396-1NYMDOrthopedic Physical Therapist
027396NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Leroy Physical Therapy and Athletic Training, PLLC Orthopedic PastSince Aug 12, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1134522907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 ASHLAND OAKS CIR",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591665",
            "telephone_number": "410-688-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 RIDGE RD",
            "address_2": "#A",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802489",
            "telephone_number": "585-347-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTOLI",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "027396-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.