Active NPI
Tracy Mae Rogers, DPT
- Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1033407762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0015475
- Practice address
- 3141 Centennial Blvd
Colorado Springs, CO 80907-4094 - Phone
- (719) 227-4535
- NPI assigned
- Jul 15, 2011
- 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 | 26641 | FL | |
| Physical Therapist | 225100000X | 0015475 | CO | Primary |
Addresses
Primary practice location
3141 Centennial Blvd
Colorado Springs, CO 80907-4094
Mailing address
941 Oak Ridge Rd
Manitou Springs, CO 80829-2803
Phone (619) 823-4568
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0015475 | CO | MD | Physical Therapist |
| 26641 | FL | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1033407762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 OAK RIDGE RD",
"city": "MANITOU SPRINGS",
"state": "CO",
"postal_code": "808292803",
"telephone_number": "619-823-4568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3141 CENTENNIAL BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809074094",
"telephone_number": "719-227-4535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "TRACY",
"middle_name": "MAE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-15",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "26641",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0015475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.