Individual provider Active NPI

Kellen Rotach, PT

  • Physical Therapist
  • Pittsford, NY
National Provider Identifier
1821348707
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035528-1 Issued in NY
Practice address
3819 Monroe Ave
Pittsford, NY 14534-1336
Phone
(585) 586-3819
NPI assigned
Sep 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 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 035528-1 NY Primary

Addresses

Primary practice location

3819 Monroe Ave
Pittsford, NY 14534-1336

Mailing address

383 White Spruce Blvd
Rochester, NY 14623-1603
Phone (585) 442-6067

Other practice location 1

349 W Commercial St
Ste 1275
East Rochester, NY 14445-2407
Phone (585) 264-0370

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121107000710 NY Practitioner - Physical Therapist in Private Practice 2163673773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regain Physical Therapy PLLCGroup PAC ID 3971766676, 10 clinicians

Practice addresses (Care Compare)

3819 Monroe Ave
Pittsford, NY 14534-1336
Phone (585) 586-3819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035528-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regain Physical Therapy PLLC Physical Therapist CurrentSince Jan 7, 2024 Accepting new patients
Shuman Physical Therapy Physical Therapist PastSince Aug 16, 2012 Accepting new patients

Locations

3819 Monroe Ave
Pittsford, NY 14534
Phone (585) 586-3819

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.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1821348707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 WHITE SPRUCE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231603",
            "telephone_number": "585-442-6067",
            "fax_number": "585-442-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 MONROE AVE",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341336",
            "telephone_number": "585-586-3819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "349 W Commercial St",
            "address_2": "Ste 1275",
            "address_purpose": "LOCATION",
            "city": "East Rochester",
            "state": "NY",
            "postal_code": "144452407",
            "country_code": "US",
            "telephone_number": "585-264-0370",
            "fax_number": "585-264-0432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTACH",
        "first_name": "KELLEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-18",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035528-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.