Jonathan Maxwell Rodgers, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4543 Issued in AR

Practice address

321 Section Line Rd Ste E
Hot Springs, AR 71913-6483

Phone

(501) 359-3802

Fax

(501) 359-3802

NPI assigned

Aug 22, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ouachita Physical Therapy LLCGroup PAC ID 0547629875, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Ouachita Physical Therapy LLC

  • Physical Therapist
  • Hot Springs, AR
  • NPI 1467136820
  Medicare reassignment Care Compare group NPD Authorized official
• Steadman'S Physical Therapy

  • Physical Therapist
  • Hot Springs, AR
  • NPI 1528397833
  NPD

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1003397670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 SECTION LINE RD STE E",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136483",
            "telephone_number": "501-359-3802",
            "fax_number": "501-359-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SECTION LINE RD STE E",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136483",
            "telephone_number": "501-359-3802",
            "fax_number": "501-359-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "JONATHAN",
        "middle_name": "MAXWELL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-22",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "4543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS PHYSICAL THERAPY BOARD",
            "identifier": "4543",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol A. Rocconi, M.A., CCC-SLP
• Rock Dental Arkansas PLLC
• Rocky Mountain Holdings, LLC
• Ferdinand Tabucol Roda, M.D.
• Crystal Rodgers, M.S., CCC-SLP
• Lee A Rodgers, OTR/L
• Jeanette Roe
• Susan Gwen Roe
• Heather Marie Rogers, PHARM.D
• Jordan Nicole Rogers

• Physical Therapist in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.