Gabe Rorvig, ATC, EMT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000022401 Issued in MN

Practice address

521 E Main St
Apt C
Mankato, MN 56001-4690

Phone

(507) 251-3410

NPI assigned

Apr 25, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1083069215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E MAIN ST",
            "address_2": "APT C",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014690",
            "telephone_number": "507-251-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E MAIN ST",
            "address_2": "APT C",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014690",
            "telephone_number": "507-251-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RORVIG",
        "first_name": "GABE",
        "name_prefix": "Mr.",
        "credential": "ATC, EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "2000022401",
            "primary": true
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MN",
            "license": "E2036958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Alice Rooney, O.D.
• Karl Philip Roos, MD
• Root to Rise Therapy
• Roptacare Services
• Mark P Rorem, MD
• Kayla Ray Rosado
• Vicki L Rose, PA
• Elizabeth Rosebaugh
• Austen Roselius, MD, JD
• Frank D Rossi, D.O.

• Athletic Trainer in Mankato, MN
• Providers in Mankato, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.