Kelly Rothering, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A1997 Issued in MD

Practice address

2825 Westchester Ave
Ellicott City, MD 21043-4806

Phone

(410) 480-1923

NPI assigned

Nov 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1356678486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26424 TRIBUTARY BLVD",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199667319",
            "telephone_number": "410-599-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 WESTCHESTER AVE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434806",
            "telephone_number": "410-480-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHERING",
        "first_name": "KELLY",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-10",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "DE",
            "license": "J2-0001196",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A1997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Rosenberg, OTR/L
• Brian Rosnick
• Warren Marc Ross, M.D.
• Stacy Rosuck
• Joel Roth
• Roy Film PT, PA
• Georgia Marie Royalty, PH.D.
• Marielle L Rubeor, LCSW-C
• Sara Kroll Rubloff, MS
• Gary L. Rudacille, D.D.S

• Physical Therapy Assistant in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.