Jennifer Elaine Rouse, DPT
Individual provider Active NPI Physical Therapist · Chariton, IA
NPI 1114157724 · NPPES record last updated Jul 16, 2009
Key facts
- NPI
- 1114157724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 004353 (IA)
- Practice address
- 1200 N 7TH St
Chariton, IA 50049-1210 - Phone
- (641) 774-3000
- Fax
- (641) 774-3207
- NPI assigned
- Jul 16, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004353 | IA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004353 | IA | Yes |
Addresses
Primary practice location
1200 N 7TH St
Chariton, IA 50049-1210
Mailing address
1200 N 7TH St
Chariton, IA 50049-1210
Phone (641) 774-3000
Other providers in Chariton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.