Individual provider Active NPI

Ashley L Rotenberg, DPT

  • Physical Therapist
  • Bristol, PA
National Provider Identifier
1447560180
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-020963 Issued in PA
Practice address
100 Green Lane
Bristol, PA 19007
Phone
(215) 826-0166
Fax
(215) 826-0285
NPI assigned
Oct 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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 PT-020963 PA Primary

Addresses

Primary practice location

100 Green Lane
Bristol, PA 19007

Mailing address

601 S Oxford Valley Rd
Fairless Hills, PA 19030-3901

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221104001263 PA Practitioner - Physical Therapist in Private Practice 1557738598 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-020963PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics (SPT), Inc. CurrentSince Sep 8, 2022 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Sep 8, 2022 Accepting new patients
Rehabclinics (SPT), Inc. Physical Therapist Current Accepting new patients
Reconstructive Orthopaedic Associates II LLC Past Accepting new patients
Omni Health Services Inc Past Accepting new patients

Locations

601 S Oxford Valley Rd
Fairless Hills, PA 19030
Phone (215) 943-3300

604 Commons Dr
Ste D3
Oxford, PA 19363
Phone (610) 932-3619

Organizations & group practices 5

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": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1447560180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S OXFORD VALLEY RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190303901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GREEN LANE",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "19007",
            "telephone_number": "215-826-0166",
            "fax_number": "215-826-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTENBERG",
        "first_name": "ASHLEY",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-020963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.