MR. ROB EDWARD LIGHT (NPI# 1548694292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548694292 |
| Entity Type | Individual |
| Full Name | MR. ROB EDWARD LIGHT |
| Credential | MPT |
| Practice Address |
1712 Line Ave Rolla MO 65401-9620 |
| Practice Telephone | 5735786121 |
| Mailing Telephone | 5735786121 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
116304 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1712 LINE AVE |
| City | ROLLA |
| State | MO |
| Zip Code | 65401-9620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
| Find all providers in zip 65401 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669088787 | Zachary Sommermeyer | Physical Therapist | 22 Majestic Ct, Fenton, MO 63026-2769 | 2020-09-23 |
| 1083262711 | Eunmi Lee | Physical Therapist | 2047 Kentmore Ln, Chesterfield, MO 63017-8111 | 2019-08-27 |
| 1538519889 | Vicki Thomas | Physical Therapist | 4006 Austin Dr, Saint Charles, MO 63304-0318 | 2016-06-17 |
| 1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
| 1659777134 | Fernando Ponay | Physical Therapist | 2481 W Swallow St, Springfield, MO 65810-3622 | 2014-11-11 |
| 1063815272 | Kerrie Nell Patton | Physical Therapist | 220 Wilshire Dr, Hollister, MO 65672-5334 | 2014-10-01 |
| 1699182956 | Marieflor Iringan Ferrell | Physical Therapist | 205 Sarah Drive, Ashland, MO 65010 | 2014-07-18 |
| 1770928772 | Frances J Cutshall | Physical Therapist | 867 Foxsprings Dr, 13550 South Outer 40 Rd, Chesterfield, MO 63017-1796 | 2013-05-03 |
| 1194067116 | Hassan R Jafri | Physical Therapist | 1722 Olive, Sutie 201, St. Louis, MO 63103 | 2013-03-18 |
| 1265705917 | Kristin Kay Allen | Physical Therapist | 738 W Port Plz, Saint Louis, MO 63146-3010 | 2012-02-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.