Individual provider Active NPI

Joseph Blake Rogers, PTA

  • Physical Therapy Assistant
  • Jonesboro, AR
National Provider Identifier
1013729045
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA1782 Issued in AR
Practice address
1809 E Parker Rd Ste D
Jonesboro, AR 72404-7854
Phone
(870) 219-1828
NPI assigned
Jan 27, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA1782 AR Primary

Addresses

Primary practice location

1809 E Parker Rd Ste D
Jonesboro, AR 72404-7854

Mailing address

2404 Rankin Dr
Jonesboro, AR 72404-6928
Phone (870) 219-1828

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

LicenseStateTypeSpecialty
PTA1782ARMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Natural State Physical Therapy PLLC CurrentSince Feb 2, 2025 Accepting new patients

Locations

1809 E Parker Rd
Ste D
Jonesboro, AR 72404
Phone (870) 219-1828

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1013729045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 RANKIN DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724046928",
            "telephone_number": "870-219-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 E PARKER RD STE D",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724047854",
            "telephone_number": "870-219-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JOSEPH",
        "middle_name": "BLAKE",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA1782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.