Provider Demographics
NPI:1316935158
Name:TIMOTHY F. ROHRS PHYSICAL THERAPY, P.C.
Entity type:Organization
Organization Name:TIMOTHY F. ROHRS PHYSICAL THERAPY, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:ROHRS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:718-945-9575
Mailing Address - Street 1:230 BEACH 102 STREET
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11694
Mailing Address - Country:US
Mailing Address - Phone:718-945-9575
Mailing Address - Fax:718-945-5671
Practice Address - Street 1:230 BEACH 102 STREET
Practice Address - Street 2:
Practice Address - City:ROCKAWAY PARK
Practice Address - State:NY
Practice Address - Zip Code:11694
Practice Address - Country:US
Practice Address - Phone:718-945-9575
Practice Address - Fax:718-945-5671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-06
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0162451225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1316935158OtherGROUP NPI
NY1932263555OtherPERSONAL NPI
NY1932263555OtherPERSONAL NPI