Provider Demographics
NPI:1639750896
Name:ROHRS REHABILITATION PLLC
Entity Type:Organization
Organization Name:ROHRS REHABILITATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:T
Authorized Official - Last Name:ROHRS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-551-1750
Mailing Address - Street 1:7300 E EARLL DR UNIT 3001
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-7268
Mailing Address - Country:US
Mailing Address - Phone:602-594-5400
Mailing Address - Fax:602-603-5694
Practice Address - Street 1:1515 W CHANDLER BLVD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-6141
Practice Address - Country:US
Practice Address - Phone:602-594-5400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-19
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ091932Medicaid
AZ006154Medicaid