MEDICARE: ROKON THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1841168770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROKON THERAPY, LLC

Provider Business Mailing Address
First Line	:	18806 CHANDLER ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68136-1223
Country	:	US
Telephone Number	:	712-592-9761
Fax Number	:

Provider Business Practice Location Address
First Line	:	11060 OAK ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68144-4241
Country	:	US
Telephone Number	:	402-889-3633
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	EMILY ROKON
Credential	:	LIMHP, LICSW
Telephone Number	:	712-592-9761

Provider Enumeration Date	:	10/23/2025
Last Update Date	:	10/23/2025

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Directions to “ROKON THERAPY, LLC ” Practice Location

Language	Start Address	Practice Location

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