Provider Demographics
NPI:1902947971
Name:ROHRKEMPER, MARY K (AT, PT)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:K
Last Name:ROHRKEMPER
Suffix:
Gender:F
Credentials:AT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 AFRICA RD STE 160
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-9808
Mailing Address - Country:US
Mailing Address - Phone:614-392-2812
Mailing Address - Fax:614-392-2816
Practice Address - Street 1:625 AFRICA RD STE 160
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082
Practice Address - Country:US
Practice Address - Phone:614-392-2812
Practice Address - Fax:614-392-2816
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT-0002562255A2300X
OHPT.008519225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH073300Medicare PIN