Individual provider Active NPI

Corey P Rothrock, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Tea, SD
National Provider Identifier
1699974089
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
239510-1 Issued in NY
Practice address
2120 Live Stronger St
Tea, SD 57064-8331
Phone
(605) 331-5890
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 239510-1 NY Primary

Addresses

Primary practice location

2120 Live Stronger St
Tea, SD 57064-8331

Mailing address

2120 Live Stronger St
Tea, SD 57064-8331
Phone (605) 331-5890

Other identifiers 2

IdentifierTypeStateIssuer
1699974089MedicaidSD
1699974089MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100204000192 SD Practitioner - Orthopedic Surgery 3577656743 Reassigns benefits to 1 organization
I20120806000924 IA Practitioner - Orthopedic Surgery 3577656743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Nebraska College of Medicine, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Orthopedic Institute PCGroup PAC ID 1254223894, 57 clinicians
Sports Rehab and Professional Therapy Associates IncGroup PAC ID 1658289608, 124 clinicians

Practice addresses (Care Compare)

1101 Broadway Ave
Yankton, SD 57078-2835
Phone (605) 331-5890

1202 21St Ave
Rock Valley, IA 51247-1420
Phone 60533158905547

2120 Live Stronger St
Tea, SD 57064-8331
Phone (605) 331-5890

315 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-7724

407 22ND Ave
Brookings, SD 57006-2427
Phone (605) 331-5890

810 E 23Rd St
Sioux Falls, SD 57105-2135

Hospital & facility affiliations

  • Sioux Falls Specialty Hospital Hospital, Sioux Falls, SD, CCN 430090
  • Hegg Memorial Health Center Hospital, Rock Valley, IA, CCN 161336
  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
  • Prairie Lakes Healthcare System, Inc Hospital, Watertown, SD, CCN 430005
  • Bowdle Hospital - Cah Hospital, Bowdle, SD, CCN 431318

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement103
Knee replacement99
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
239510-1NYMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Institute PC Adult Reconstructive Orthopaedic Surgery CurrentSince Feb 1, 2010 Accepting new patients

Locations

1202 21st Ave
Rock Valley, IA 51247
Phone (712) 476-8000

3301 Highway 71
Spirit Lake, IA 51360
Phone 60533158905547

407 22nd Ave
Brookings, SD 57006

810 E 23rd St
Sioux Falls, SD 57105
Phone (605) 339-6823

2120 Live Stronger St
Tea, SD 57064
Phone (605) 982-9545

Interoperability endpoints

  • Direct secure messaging: corey.rothrock.1@21545.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1699974089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 LIVE STRONGER ST",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570648331",
            "telephone_number": "605-331-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 LIVE STRONGER ST",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570648331",
            "telephone_number": "605-331-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHROCK",
        "first_name": "COREY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NY",
            "license": "239510-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699974089",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699974089",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tea, SD

Sources for this page

Verify at the official NPI Registry.