Active NPI
Rosemary A Rolniak, PHYSICAL THERAPIST
- Physical Therapist
- Russellville, AR
National Provider Identifier
1902863426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 429
- Practice address
- 1808 W Main St
Russellville, AR 72801-2724 - Phone
- (479) 968-3733
- Fax
- (479) 967-9761
- NPI assigned
- Apr 27, 2006
- 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 | 429 | AR | Primary |
Addresses
Primary practice location
1808 W Main St
Russellville, AR 72801-2724
Mailing address
1808 W Main St
Russellville, AR 72801-2724
Phone (479) 968-3733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5U685 | Other | AR | BLUE CROSS BLUE SHIELD PR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 429 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1902863426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 W MAIN ST",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728012724",
"telephone_number": "479-968-3733",
"fax_number": "479-967-9761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 W MAIN ST",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728012724",
"telephone_number": "479-968-3733",
"fax_number": "479-967-9761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLNIAK",
"first_name": "ROSEMARY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "429",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD PR",
"identifier": "5U685",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.