Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Robert Rotenberg, PA

Individual provider Athletic Trainer · NPI 1144685207

Robert Rotenberg, PA is a Physician Assistant in Owings Mills, Maryland. Qualified in 2023, 3 years ago. Practices with Lifebridge Community Physicians Inc, a 185-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

10084 Reisterstown Rd Ste 200A
Owings Mills, MD 21117-4096
Phone: (410) 552-5050
Fax: (410) 552-0200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 555 Martin St, Apopka, FL 32712-3544 — (407) 950-5500
  • 2151 Old Brick Rd, Glen Allen, VA 23060-5837 — (804) 727-6800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Athletic Trainer Taxonomy 2255A2300X · Licence AL3390 (FL)

Record details

NPI number1144685207
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedDecember 16, 2015
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024
Mailing address611 S Charles St Unit 323, Baltimore, MD 21230-3881

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lifebridge Community Physicians Inc — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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