Provider Demographics
NPI:1912512393
Name:ROTTINGHAUS, FAITH MARIE (CPTA)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:MARIE
Last Name:ROTTINGHAUS
Suffix:
Gender:
Credentials:CPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4614 SE CROCO RD
Mailing Address - Street 2:
Mailing Address - City:BERRYTON
Mailing Address - State:KS
Mailing Address - Zip Code:66409-9770
Mailing Address - Country:US
Mailing Address - Phone:785-230-7186
Mailing Address - Fax:
Practice Address - Street 1:6001 SW 6TH AVE STE 230
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66615-1004
Practice Address - Country:US
Practice Address - Phone:785-232-9805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-11
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-03740225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant