Roth PT-CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ROTH PT-CLT

Practice address

8180 Brecksville Rd Ste 204
Brecksville, OH 44141-1353

Phone

(216) 536-5288

NPI assigned

Feb 14, 2019

Organization subpart

No

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

Authorized official

Name

Pamela Bebenroth, PTNPI 1295062370

Title

Owner

Phone

(216) 536-5288

Specialties & licenses 1

Addresses

Other names 1

• ROTH LYMPHEDEMA Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela H Bebenroth, PT

  • Physical Therapist
  • Brecksville, OH
  • NPI 1295062370
  Medicare reassignment NPD Authorized official
• Joanne Castro, PTA, LMT, CLT

  • Physical Therapy Assistant
  • Strongsville, OH
  • NPI 1982453908
  NPD

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1417413477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 PRESTWICK DR",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441473094",
            "telephone_number": "216-536-5288",
            "fax_number": "440-587-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 BRECKSVILLE RD STE 204",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411353",
            "telephone_number": "216-536-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTH PT-CLT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "BEBENROTH",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-536-5288",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROTH LYMPHEDEMA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsy Rivera
• Jeffrey M. Robson, LPCC-S
• Juan Manuel Rodriguez, M.D.
• Stephanie Rodriguez, RPH.
• Deborah Rosenthal, PH.D.
• Renee Rothhaas, OTR/L
• Catherine Ann Rotolo, L.I.S.W.
• Loreen Jenc Rugle, PH.D.
• Conner Grayson Rybka
• Kristi L. Sack, LISW

• Physical Therapist in Brecksville, OH
• Providers in Brecksville, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.

Verify at the official NPI Registry.