Active NPI
Kailey Elizabeth Rothenberger, DR
- Physical Therapist
- Clarks Summit, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT033836
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT033836 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steffie Enterprises, Inc | Physical Therapist | Current | Accepting new patients |
| Alycam Inc | Physical Therapist | Current | Accepting new patients |
| Derek Enterprises LLC | Physical Therapist | Current | Accepting new patients |
| Dylan RC Enterprises Inc | Physical Therapist | Current | 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.