Kasey Rolfes, DHA, LAT, RCEP

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

110 Hospital Rd
Suite 304
Prince Frederick, MD 20678-4019

Phone

(410) 414-9840

NPI assigned

Sep 2, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• The Custom Source Inc

  • Prosthetic/Orthotic Supplier
  • Matthews, NC
  • NPI 1114902665
  NPD Authorized official

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306830526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 CHESTNUT LN STE 120",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281048567",
            "telephone_number": "704-893-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD",
            "address_2": "SUITE 304",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784019",
            "telephone_number": "410-414-9840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 Chestnut Ln Ste 120",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281048567",
            "country_code": "US",
            "telephone_number": "704-893-5457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLFES",
        "first_name": "KASEY",
        "credential": "DHA, LAT, RCEP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren Lynn Roberts, DPT
• Travis Wayne Roberts, NP-C
• Kesha Shunte Robertson, M.D.
• Mary Rocque
• Roe A Rodgers-Bonaccorsy, LCADC, LCPC
• Ronald J. Ross Jr., M.D.
• Sarah E Rothhaas, P.A.
• Rodney James Roundtree Jr., LCPC
• Wayne Mark Rozran, M. D.
• Claudette Marie Ruehl, LC-ADC

• Athletic Trainer in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Athletic Trainer in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.