Provider Demographics
NPI:1598216053
Name:ROHRER, CHRISTOPHER TRACE (DPT)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:TRACE
Last Name:ROHRER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 PLEASANT VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9627
Mailing Address - Country:US
Mailing Address - Phone:717-757-3537
Mailing Address - Fax:717-718-8674
Practice Address - Street 1:2112 HARRISBURG PIKE
Practice Address - Street 2:STE 321
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2644
Practice Address - Country:US
Practice Address - Phone:717-757-3537
Practice Address - Fax:717-718-8674
Is Sole Proprietor?:No
Enumeration Date:2016-10-20
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT021502225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103252407-0001Medicaid
PA50145831OtherCAPITAL BC
PA003496139OtherHIGHMARK BS
PA50145831OtherCAPITAL BC