Kelli Marie Rorem, P.T., A.T.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10284 Issued in MN

Practice address

600 Market St Ste 150
Chanhassen, MN 55317-4570

Phone

(952) 491-4700

Fax

(952) 491-4701

NPI assigned

Apr 17, 2014

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 names 1

• Miss Kelli Marie Buerman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1982024808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7581 9TH ST N STE 100",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286635",
            "telephone_number": "651-748-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MARKET ST STE 150",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174570",
            "telephone_number": "952-491-4700",
            "fax_number": "952-491-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROREM",
        "first_name": "KELLI",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "P.T., A.T.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "2501",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "BUERMAN",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "A.T.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Stephanie Anne Tyler Ritter, PT
• Kelly Robison, ATR
• Donald M Roos
• Serena L Rosen
• Claire Roth
• Mandy Marie Rother, RDN, LDN
• Katherine Marie Roush
• Roy R. Moeller D.P.M. P.a.

• Physical Therapist in Chanhassen, MN
• Providers in Chanhassen, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.