Provider Demographics
NPI:1245361351
Name:ROHE, BARBARA THOMPSON (PT)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:THOMPSON
Last Name:ROHE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:A THOMPSON
Other - Last Name:ROHE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:181 DEANNA DR STE C
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:IN
Practice Address - Zip Code:46356-2402
Practice Address - Country:US
Practice Address - Phone:219-696-0988
Practice Address - Fax:219-696-0989
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05001311A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN650020307OtherRR MEDICARE
IN000000108534OtherBLUE CROSS, BLUE SHIELD
IN149970CMedicare ID - Type Unspecified
IN000000108534OtherBLUE CROSS, BLUE SHIELD