Individual provider Active NPI

Kailey Elizabeth Rothenberger, DR

  • Physical Therapist
  • Clarks Summit, PA
National Provider Identifier
1417818451
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT033836 Issued in PA
Practice address
1157 Lackawanna TRL
Clarks Summit, PA 18411-9260
Phone
(570) 586-7764
NPI assigned
Nov 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT033836 PA Primary

Addresses

Primary practice location

1157 Lackawanna TRL
Clarks Summit, PA 18411-9260

Mailing address

331 Knapp Rd
Clarks Summit, PA 18411-2123

Other practice location 1

3356 Birney Plz
Moosic, PA 18507-1560
Phone (570) 347-7790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251215002642 PA Practitioner - Physical Therapist in Private Practice 8123512308 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steffie Enterprises, IncGroup PAC ID 0840225736, 38 clinicians

Practice addresses (Care Compare)

1157 Lackawanna TRL
Clarks Summit, PA 18411-9260
Phone (570) 586-7764

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT033836PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Steffie Enterprises, Inc Physical Therapist CurrentSince Nov 6, 2025 Accepting new patients
Alycam Inc Physical Therapist CurrentSince Nov 6, 2025 Accepting new patients
Derek Enterprises LLC Physical Therapist CurrentSince Nov 6, 2025 Accepting new patients
Dylan RC Enterprises Inc Physical Therapist CurrentSince Nov 6, 2025 Accepting new patients

Locations

1157 Lackawanna Trl
Clarks Summit, PA 18411
Phone (570) 283-3222

87 Oxford St
Hanover Township, PA 18706
Phone (570) 387-2202

3356 Birney Plz
Moosic, PA 18507
Phone (570) 347-7790

693 Main St
New Milford, PA 18834
Phone (570) 465-2027

106 Rotary Dr
West Hazleton, PA 18202
Phone (570) 455-2286

1086 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (570) 823-7761

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1417818451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 KNAPP RD",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184112123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 LACKAWANNA TRL",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184119260",
            "telephone_number": "570-586-7764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3356 Birney Plz",
            "address_purpose": "LOCATION",
            "city": "Moosic",
            "state": "PA",
            "postal_code": "185071560",
            "country_code": "US",
            "telephone_number": "570-347-7790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTHENBERGER",
        "first_name": "KAILEY",
        "middle_name": "ELIZABETH",
        "credential": "DR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT033836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.