Individual provider Active NPI

Amber Renae Rogers, DPT

  • Physical Therapist
  • Wasilla, AK
National Provider Identifier
1053676569
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PHYP2658 Issued in AK
Practice address
1700 E Bogard Rd BLDG a
Wasilla, AK 99654-6563
Phone
(907) 921-7384
Fax
(844) 605-1820
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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 PHYP2658 AK Primary

Addresses

Primary practice location

1700 E Bogard Rd BLDG a
Wasilla, AK 99654-6563

Mailing address

PO Box 672075
Chugiak, AK 99567-2075
Phone (907) 921-7384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250618002199 AK Practitioner - Physical Therapist in Private Practice 3870743404 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Health and Home LLC Physical Therapist CurrentSince Jun 6, 2025 Accepting new patients
Healthworks Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Canyon Physical Therapy and Aquatic Rehabilitation, P.L.L.C. PastSince Sep 1, 2006 Accepting new patients

Locations

1700 E Bogard Rd
Ste A200
Wasilla, AK 99654
Phone (907) 290-9595

Organizations & group practices 3

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1053676569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672075",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995672075",
            "telephone_number": "907-921-7384",
            "fax_number": "844-605-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E BOGARD RD BLDG A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546563",
            "telephone_number": "907-921-7384",
            "fax_number": "844-605-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "AMBER",
        "middle_name": "RENAE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "PHYP2658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.