Craig Rolla, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-013477-L Issued in PA

Practice address

1019 Ghaner Rd
Suite 200
Port Matilda, PA 16870-7201

Phone

(814) 954-7056

Fax

(814) 954-7083

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Drayer Physical Therapy Institute LLC

  • Physical Therapist
  • Port Matilda, PA
  • NPI 1396136719
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1902871254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 GHANER RD",
            "address_2": "SUITE 200",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707201",
            "telephone_number": "814-954-7056",
            "fax_number": "814-954-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 GHANER RD",
            "address_2": "SUITE 200",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707201",
            "telephone_number": "814-954-7056",
            "fax_number": "814-954-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLA",
        "first_name": "CRAIG",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-013477-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elissa R Rhed, CRNP
• River of Life
• Rebecca K. Roan, PA-C
• Robert P. Martini Jr, D.C.
• Mary Jane Rocco
• Caroline Romero
• Hannah Elizabeth Ryba
• Canan Sahin-Kandemir, M.D.
• Shari Aulene Schrack, CRNP
• Lauren Sgriccia, MS, RDN, LDN

• Physical Therapist in Port Matilda, PA
• Providers in Port Matilda, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.