Individual provider Active NPI

Jonathan Adam Rogers, DPT

  • Physical Therapist
  • Amesbury, MA
National Provider Identifier
1023381282
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19811 Issued in MA
Practice address
110 Haverhill Rd
Suite 292
Amesbury, MA 01913-2123
Phone
(978) 834-6392
Fax
(978) 834-6215
NPI assigned
Feb 20, 2012
Last updated
Nov 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19811 MA Primary

Addresses

Primary practice location

110 Haverhill Rd
Suite 292
Amesbury, MA 01913-2123

Mailing address

210 Commerce Way
Suite 120
Portsmouth, NH 03801-8200
Phone (603) 427-8066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120502000461 MA Practitioner - Physical Therapist in Private Practice 8921260282 Reassigns benefits to 1 organization
I20170126001057 NH Practitioner - Physical Therapist in Private Practice 8921260282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Boston University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proex Physical Therapy LLCGroup PAC ID 0345212395, 166 clinicians

Practice addresses (Care Compare)

110 Haverhill Rd
Suite 292
Amesbury, MA 01913-2119
Phone (978) 834-6392

475 High St E
Somersworth, NH 03878-1024
Phone (603) 617-3846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Competitive Edge Physical Therapy & Sports Training, LLC Physical Therapist Past Accepting new patients
Proex Physical Therapy, LLC Past Accepting new patients
Achieve Physical Therapy, PC Physical Therapist Past Accepting new patients
Achieve Physical Therapy LLC Physical Therapist PastSince Nov 21, 2010 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1023381282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 COMMERCE WAY",
            "address_2": "SUITE 120",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038018200",
            "telephone_number": "603-427-8066",
            "fax_number": "603-501-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD",
            "address_2": "SUITE 292",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132123",
            "telephone_number": "978-834-6392",
            "fax_number": "978-834-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JONATHAN",
        "middle_name": "ADAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-20",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amesbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.