Jason W Rogers, MPT, MS, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00009144 Issued in WA

Practice address

4420 106TH St SW
Mukilteo, WA 98275-4700

Phone

(425) 315-9500

Fax

(425) 315-0585

NPI assigned

Dec 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master 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 and National Provider Directory roles.

• Evergreen Physical Medicine, LLC

  • Family Nurse Practitioner
  • Meridian, ID
  • NPI 1538668421
  NPD (past)

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1114100849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27500 102ND AVE NW",
            "address_2": "STE 1",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928092",
            "telephone_number": "360-629-7528",
            "fax_number": "360-629-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 106TH ST SW",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982754700",
            "telephone_number": "425-315-9500",
            "fax_number": "425-315-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JASON",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MPT, MS, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolene Kniskern Rhynard
• Rite Aid
• Ritual Massage and Bodywork
• Aaron G. Robins, M. DIV.
• Jami Roemish, RN
• Michael Rohrenbach, DO
• Jayleen Nichole Roman, MA 00020615
• Ronald a Krueger MD Inc PS
• Marc Root
• Jennifer Rose, RN

• Physical Therapist in Mukilteo, WA
• Providers in Mukilteo, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.