Mary Rogers

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA4492 Issued in FL

Practice address

6230 Morning Mist LN
Orlando, FL 32819-6915

Phone

(321) 368-2172

Fax

(321) 800-6778

NPI assigned

Jan 18, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Little Tesla Pediatric Therapy LLC

  • Pediatric Occupational Therapist
  • Orlando, FL
  • NPI 1578997268
  NPD (past)

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1134586472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 MORNING MIST LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328196915",
            "telephone_number": "321-368-2172",
            "fax_number": "321-800-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 MORNING MIST LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328196915",
            "telephone_number": "321-368-2172",
            "fax_number": "321-800-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA4492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009486100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rogers
• Jennifer Ashley Rogers, PAC
• Keith Bernard Rogers
• Lonisha Rogers
• Marjorie Kay Rogers, CRNA
• Nichole Rogers
• Raymond Lewis Rogers Jr., DMD
• Shenika Latoya Rogers
• Victoria Ann Rogers, OD
• Jenna Macgillivray Rogerson, LCSW

• Speech-Language Pathologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.