Basic Information
| Provider Information | |||||||||
| NPI: | 1639750896 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ROHRS REHABILITATION PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7300 E EARLL DR UNIT 3001 | ||||||||
| Address2: | |||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852517268 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6025945400 | ||||||||
| FaxNumber: | 6026035694 | ||||||||
| Practice Location | |||||||||
| Address1: | 1515 W CHANDLER BLVD | ||||||||
| Address2: | |||||||||
| City: | CHANDLER | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852246141 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6025945400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2021 | ||||||||
| LastUpdateDate: | 10/26/2021 | ||||||||
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| AuthorizedOfficialLastName: | ROHRS | ||||||||
| AuthorizedOfficialFirstName: | JACOB | ||||||||
| AuthorizedOfficialMiddleName: | T | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICIAN/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5165511750 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 10/26/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
ID Information
| ID | Type | State | Issuer | Description | 091932 | 05 | AZ | MEDICAID | 006154 | 05 | AZ | MEDICAID |