Provider Demographics
NPI:1811995079
Name:RAWE, MARGARET ANN (PT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:RAWE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 188010
Mailing Address - Street 2:
Mailing Address - City:ERLANGER
Mailing Address - State:KY
Mailing Address - Zip Code:41018-8010
Mailing Address - Country:US
Mailing Address - Phone:513-557-4270
Mailing Address - Fax:513-557-3214
Practice Address - Street 1:2845 CHANCELLOR DR
Practice Address - Street 2:
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-3418
Practice Address - Country:US
Practice Address - Phone:859-426-4200
Practice Address - Fax:859-426-4206
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT 10653225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100188390Medicaid
OHP00288204OtherMEDICARE RAILROAD
OH2506934Medicaid
OHP00288204OtherMEDICARE RAILROAD
KY7100188390Medicaid
KYK009301Medicare PIN