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CARLY ROTHERT
NPI 1154262129
Student in an Organized Health Care Education/Training Program in Dayton, OH

Active since April 03, 2026PECOS Enrolled
1 WYOMING ST, DAYTON, OH 45409(419) 559-9713 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2026, Apr 3, 2026 (2 updates tracked since 2026).

About Carly Rothert NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY ROTHERT (NPI 1154262129) is an individual student in an organized health care education/training program in Dayton, Ohio and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154262129
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCARLY ROTHERT
Location Address1 WYOMING STDayton, OH 45409-2722
Mailing Address4030 Shell AveDayton, OH 45415-1456 · (419) 559-9713
Phone(419) 559-9713
Sole ProprietorNo
Enumeration DateApril 3, 2026
Last NPPES UpdateApril 10, 20262 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1154262129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 WYOMING ST, Dayton, OH 45409
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Rothert is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL NGUYEN
Student in an Organized Health Care Education/Training Program
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-3882
KATHY WAYMIRE CRNA
Nurse Anesthetist, Certified Registered
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (800) 394-4445
DR. RORY JON PEPPARD M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1 WYOMING ST, NEONATOLOGY OFFICE
DAYTON, OH 45409
Montgomery County (937) 208-2907
DR. DANIEL PHILLIP PITSTICK D.O.
Emergency Medicine
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-3356
DR. WILLIAM R. MARRIOTT M.D.
Emergency Medicine
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (513) 281-4400
MIAMI VALLEY HOSPITAL
Psychiatric Unit
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-8000
LEILA CONSTANCE TOU
Student in an Organized Health Care Education/Training Program
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-2866
DR. JARED COTTINGIM RPH
Pharmacist
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-3195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Rothert's NPI number?

The NPI number for Carly Rothert is 1154262129. It was assigned to this individual provider in the NPPES registry on April 3, 2026.

Where is Carly Rothert located?

Carly Rothert practices at 1 Wyoming St, Dayton, OH 45409. The listed phone number is (419) 559-9713.

What is Carly Rothert's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carly Rothert enrolled in Medicare?

Yes. Carly Rothert is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carly Rothert was last updated on April 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.