Individual provider Active NPI

Andrea Catherine Rothgerber, P.T.

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1720226525
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005385 Issued in KY
Practice address
170 Dr Arla Way
Louisville, KY 40229-5427
Phone
(502) 955-1081
NPI assigned
Feb 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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 005385 KY Primary

Addresses

Primary practice location

170 Dr Arla Way
Louisville, KY 40229-5427

Mailing address

136 Pennsylvania Ave
Louisville, KY 40206-2767
Phone (502) 693-0769

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111111000617 KY Practitioner - Physical Therapist in Private Practice 8527232313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopaedic Physical Therapy, PSCGroup PAC ID 7113946336, 12 clinicians

Practice addresses (Care Compare)

9400 Williamsburg PLZ
Suite 100
Louisville, KY 40222-5097
Phone (502) 412-4486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005385KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopaedic Physical Therapy, PSC CurrentSince Jun 22, 2015 Accepting new patients
Apex Physical Therapy and Rehabilitation, PLLC Physical Therapist PastSince Aug 8, 2012 Accepting new patients
Prime Time Physical Therapy PLLC Physical Therapist PastSince Apr 1, 2006 Accepting new patients

Locations

9400 Williamsburg Plz
Ste 100
Louisville, KY 40222
Phone (502) 412-4486

Organizations & group practices 3

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": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1720226525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 PENNSYLVANIA AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062767",
            "telephone_number": "502-693-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 DR ARLA WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295427",
            "telephone_number": "502-955-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHGERBER",
        "first_name": "ANDREA",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-02",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.