Active NPI
Valerie Kay Rodemer, PT
- Physical Therapist
- Gettysburg, PA
National Provider Identifier
1306801162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009091E
- Practice address
- 16C Deatrick Drive
Gettysburg, PA 17325-3401 - Phone
- (717) 337-3300
- Fax
- (717) 337-2977
- NPI assigned
- Apr 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT009091E | PA | Primary |
Addresses
Primary practice location
16C Deatrick Drive
Gettysburg, PA 17325-3401
Mailing address
16C Deatrick Dr
Gettysburg, PA 17325-6958
Phone (717) 337-3300
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1684641 | Other | PA | HIGHMARK |
| 1011968820002 | Medicaid | PA | |
| 3719295 | Other | PA | AETNA |
| 64463901 | Other | PA | CAREFIRST BLUE SHIELD |
| 2357863000 | Other | PA | PERSONAL CHOICE |
| T7090007 | Other | PA | CAREFIRST |
| 50045386 | Other | PA | CAPITAL BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT009091E | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Gettysburg Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- Gettysburg, PA
- NPI 1184882011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249948800000",
"number": "1306801162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16C DEATRICK DR",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173256958",
"telephone_number": "717-337-3300",
"fax_number": "717-337-2977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16C DEATRICK DRIVE",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173253401",
"telephone_number": "717-337-3300",
"fax_number": "717-337-2977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODEMER",
"first_name": "VALERIE",
"middle_name": "KAY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2009-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT009091E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "1684641",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011968820002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3719295",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUE SHIELD",
"identifier": "64463901",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "2357863000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "T7090007",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50045386",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gettysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.