Active NPI
Caitlin Rogers
- Physical Therapist
- Des Moines, IA
National Provider Identifier
1003395823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 092775
- Practice address
- 2100 Dixon St Ste E
Des Moines, IA 50316-2174 - Phone
- (630) 853-7248
- NPI assigned
- Aug 13, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070021718 | IL | |
| Physical Therapist | 225100000X | 092775 | IA | Primary |
Addresses
Primary practice location
2100 Dixon St Ste E
Des Moines, IA 50316-2174
Mailing address
662 40TH St
Des Moines, IA 50312-3312
Phone (630) 853-7248
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 092775 | IA | MD | Physical Therapist |
| 070021718 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1003395823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "662 40TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503123312",
"telephone_number": "630-853-7248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 DIXON ST STE E",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503162174",
"telephone_number": "630-853-7248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "CAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-13",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070021718",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "092775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.