Roni L. Rothrock, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT026926 Issued in PA

Practice address

164 Greenview Dr FL 2
State College, PA 16803-2106

Phone

(814) 861-8122

Fax

(814) 861-4292

NPI assigned

Jul 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mount Nittany Medical Center Health Services IncGroup PAC ID 8426136797, 366 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mount Nittany Medical Center Health Services Inc

  • Internal Medicine Physician
  • State College, PA
  • NPI 1598992554
  Medicare reassignment Care Compare group NPD
• Mount Nittany Medical Center Health Services Inc

  • Pain Clinic/Center
  • State College, PA
  • NPI 1407035553
  NPD (past)

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1346623758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 GREENVIEW DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032106",
            "telephone_number": "814-861-8122",
            "fax_number": "814-861-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 GREENVIEW DR FL 2",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032106",
            "telephone_number": "814-861-8122",
            "fax_number": "814-861-4292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 Sandy Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "16803",
            "country_code": "US",
            "telephone_number": "814-861-8122",
            "fax_number": "814-861-4292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1374 Old Turnpike Road",
            "address_purpose": "LOCATION",
            "city": "Allport",
            "state": "PA",
            "postal_code": "16821",
            "country_code": "US",
            "telephone_number": "814-553-7308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTHROCK",
        "first_name": "RONI",
        "middle_name": "L.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki Louise Rosellini
• Dawn Rosenbaum
• Rhonda Mateer Ross, LSW
• Rothrock Chiropractic and Rehabilitation LLC
• Amy Rothrock, PA-C
• Christina Louise Rowe-Bauer, DPM
• E. P. Roy III, M.D.
• Elizabeth Anne Royer, MA
• Gregory A Ruff, M.D.
• Jennifer Ruffaner

• Physical Therapist in State College, PA
• Providers in State College, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.