Active NPI
Lori Rothrock, PT, MPT
- Physical Therapist
- Groton, CT
National Provider Identifier
1184046625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011340
- Practice address
- 1 Wahoo Drive
Groton, CT 06349-3809 - Phone
- (860) 694-4974
- NPI assigned
- Jan 17, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 60311223 | WA | |
| Physical Therapist | 225100000X | 15705 | MA | |
| Physical Therapist | 225100000X | 21817 | MD | |
| Physical Therapist | 225100000X | 011340 | CT | Primary |
Addresses
Primary practice location
1 Wahoo Drive
Groton, CT 06349-3809
Mailing address
33 Elm St
Deep River, CT 06417-1740
Phone (410) 980-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011340 | CT | MD | Dentist |
| 21817 | MD | MD | Pharmacist |
| 15705 | MA | MD | Physical Therapist |
| 60311223 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ptsma Inc | Current | Accepting new patients | |
| Patterson Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Ptsma, Inc. | Current | Accepting new patients | |
| Fox Rehab PT CT, LLC | Physical Therapist | Current | Accepting new patients |
| Ptsma, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
215 E Main St
Clinton, CT 06413
Phone (860) 669-6636
668 Bank St
New London, CT 06320
Phone (860) 442-4600
37 S Broad St
Ste 12
Pawcatuck, CT 06379
Phone (860) 495-1919
650 Ritchie Hwy
Ste 103
Severna Park, MD 21146
Phone (410) 647-1961
Organizations & group practices 5
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.
-
- Physical Therapist
- Wilton, CT
- NPI 1245584234
-
- Physical Therapy Clinic/Center
- Manchester, CT
- NPI 1619393337
-
- Physical Therapy Clinic/Center
- Clinton, CT
- NPI 1578167664
-
- Physical Therapist
- Severna Park, MD
- NPI 1750311908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583625600000",
"number": "1184046625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 ELM ST",
"city": "DEEP RIVER",
"state": "CT",
"postal_code": "064171740",
"telephone_number": "410-980-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WAHOO DRIVE",
"city": "GROTON",
"state": "CT",
"postal_code": "063493809",
"telephone_number": "860-694-4974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHROCK",
"first_name": "LORI",
"name_prefix": "Mrs.",
"credential": "PT, MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-17",
"last_updated": "2020-03-08",
"certification_date": "2020-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60311223",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "15705",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21817",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "011340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Groton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2020; 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.