Kelle E Rorrer, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT 4161 Issued in FL

Practice address

12276 San Jose Blvd
Suite 508
Jacksonville, FL 32223-8628

Phone

(904) 886-3228

Fax

(904) 886-3297

NPI assigned

Feb 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1770880908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12276 SAN JOSE BLVD",
            "address_2": "SUITE 508",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238628",
            "telephone_number": "904-886-3228",
            "fax_number": "904-886-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12276 SAN JOSE BLVD",
            "address_2": "SUITE 508",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238628",
            "telephone_number": "904-886-3228",
            "fax_number": "904-886-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RORRER",
        "first_name": "KELLE",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 4161",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT 4161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884000800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Louise Roop, ARNP
• Elicia D Roos, D.O.
• Rooted Northeast Florida, LLC
• Moriah Marie Roper, PT
• Lincoln George Ropp, D.O.
• Karla Rosa Rivera, BCBA
• Heber J Rosa, M.D.
• Kelly A Rosa, IMH
• Marilin Rosa, MD
• Robert Rosa

• Pediatric Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatric Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.