Healthcare Provider Details

I. General information

NPI: 1093025108
Provider Name (Legal Business Name): ASHLEY ROHRER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2010
Last Update Date: 12/16/2020
Certification Date: 12/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 HIGHLANDS DR
LITITZ PA
17543-7694
US

IV. Provider business mailing address

1500 HIGHLANDS DR
LITITZ PA
17543-7694
US

V. Phone/Fax

Practice location:
  • Phone: 717-625-5797
  • Fax:
Mailing address:
  • Phone: 717-625-5797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-020954
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier3805425000
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerINDEPENDENCE BLUE CROSS
# 2
Identifier102524997-0001
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 3
Identifier2526468
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerPA BLUE SHIELD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: