Active NPI
Elizabeth Roncka, MSPT
- Physical Therapist
- Brookline, MA
National Provider Identifier
1306816202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11134
- Practice address
- 1093 Beacon St
Basement Suite
Brookline, MA 02446-5695 - Phone
- (617) 277-1500
- NPI assigned
- Jan 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11134 | MA | Primary |
Addresses
Primary practice location
1093 Beacon St
Basement Suite
Brookline, MA 02446-5695
Mailing address
1093 Beacon St
Basement Suite
Brookline, MA 02446-5695
Phone (617) 277-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y68400 | Other | MA | BCBS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performing Arts Physical Therapy PC | Physical Therapist | Past | 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.
-
- Physical Therapy Clinic/Center
- Brookline, MA
- NPI 1649242884
Physical Therapist
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": "1783900800000",
"number": "1306816202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1093 BEACON ST",
"address_2": "BASEMENT SUITE",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465695",
"telephone_number": "617-277-1500",
"fax_number": "617-277-1503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1093 BEACON ST",
"address_2": "BASEMENT SUITE",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465695",
"telephone_number": "617-277-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONCKA",
"first_name": "ELIZABETH",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "11134",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y68400",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.