Healthcare Provider Details

I. General information

NPI: 1316935158
Provider Name (Legal Business Name): TIMOTHY F. ROHRS PHYSICAL THERAPY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 05/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 BEACH 102 STREET
ROCKAWAY PARK NY
11694
US

IV. Provider business mailing address

230 BEACH 102 STREET
ROCKAWAY PARK NY
11694
US

V. Phone/Fax

Practice location:
  • Phone: 718-945-9575
  • Fax: 718-945-5671
Mailing address:
  • Phone: 718-945-9575
  • Fax: 718-945-5671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0162451
License Number StateNY

VIII. Authorized Official

Name: DR. TIMOTHY FRANCIS ROHRS
Title or Position: OWNER
Credential: P.T.
Phone: 718-945-9575