KELLE E RORRER PT NPI 1770880908

NPI Information

NPI: 1770880908
Provider Name: KELLE E RORRER, PT
Classification: Physical Therapist - 2251P0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
12276 SAN JOSE BLVD
SUITE 508
JACKSONVILLE, FL
ZIP 32223
Phone: (904) 886-3228
Get Directions

Kelle E Rorrer, PT is a pediatrics physical therapist in Jacksonville, FL. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. Kelle E Rorrer, PT NPI is 1770880908. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12276 SAN JOSE BLVD
SUITE 508
JACKSONVILLE, FL
ZIP 32223-628
Phone: (904) 886-3228
Fax: (904) 886-3297

The enumeration date for this NPI number is 2/24/2011 and was last updated on 2/24/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225100000X	Physical Therapist		PT 4161	FLORIDA	No
2	2251P0200X	Physical Therapist	Pediatrics	PT 4161	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	884000800	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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