Active NPI
Lauren Elizabeth Rogers, DPT
- Physical Therapist
- Lake Mary, FL
National Provider Identifier
1154552487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24827
- Practice address
- 3577 Lake Emma Rd
Suite 121
Lake Mary, FL 32746-2056 - Phone
- (407) 936-0314
- NPI assigned
- Aug 4, 2009
- 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 | 35182 | CA | |
| Physical Therapist | 225100000X | 24827 | FL | Primary |
Addresses
Primary practice location
3577 Lake Emma Rd
Suite 121
Lake Mary, FL 32746-2056
Mailing address
3577 Lake Emma Rd
Suite 121
Lake Mary, FL 32746-2056
Phone (407) 936-0314
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35182 | CA | MD | Chiropractor |
| 24827 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Envision Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1249344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1154552487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3577 LAKE EMMA RD",
"address_2": "SUITE 121",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462056",
"telephone_number": "407-936-0314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3577 LAKE EMMA RD",
"address_2": "SUITE 121",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462056",
"telephone_number": "407-936-0314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-04",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "35182",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "24827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.