Philip Gregory Rodger, D.C., B.S.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 11946 Issued in FL

Practice address

317 Vicki Towers Dr
St Augustine, FL 32092-1757

Phone

(904) 428-0766

NPI assigned

Jan 21, 2014

Last updated

May 11, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

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.

• Rivertown Chiropractic, LLC

  • Chiropractor
  • St Augustine, FL
  • NPI 1639606007
  NPD (past) Authorized official

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1083037428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 VICKI TOWERS DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921757",
            "telephone_number": "904-428-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 VICKI TOWERS DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921757",
            "telephone_number": "904-428-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGER",
        "first_name": "PHILIP",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.C., B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-21",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007086",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret E Robinson, OT
• Mary J Robson, LCSW
• Gabrielle Roche, RMHCI
• Amanda Rocklage
• David Edwin Roddenberry
• Marcos Antonio Rodriguez Hernandez, PTA
• Alexis Rodriguez
• Christine Rodriguez, DPT
• Paola Carolina Rodriguez, D.M.D.
• Rosana Rodriguez, DPM

• Chiropractor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.