Jared E Rorabaugh, PT DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2005020351 Issued in MO

Practice address

929 E Montclair
Suite 104
Springfield, MO 65807

Phone

(417) 888-0808

Fax

(417) 888-0811

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Springfield Physical Therapy

  • Physical Therapist
  • Springfield, MO
  • NPI 1548219447
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093894735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 E MONTCLAIR",
            "address_2": "SUITE 104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65807",
            "telephone_number": "417-888-0808",
            "fax_number": "417-888-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 E MONTCLAIR",
            "address_2": "SUITE 104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65807",
            "telephone_number": "417-888-0808",
            "fax_number": "417-888-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RORABAUGH",
        "first_name": "JARED",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005020351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "169735",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cole Ronning
• Megan Christine Rooney Thompson
• Root & Rise Therapy
• Roots Therapy Solutions, LLC
• Chanin S Ropka, D.D.S.
• Valentina Marie Rosco, FNP-BC
• Alyson Rose
• Josephine Kelly Rose, LPC
• Michael J. Roselman, MD
• William K Rosen, M.D.

• Physical Therapist in Springfield, MO
• Providers in Springfield, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.