Active NPI
Josh Rogers, PHYSICAL THERAPIST
- Physical Therapist
- Milwaukee, OR
National Provider Identifier
1164594743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4621
- Practice address
- 4560 SE International Way
Consonus Rehab Services
Milwaukee, OR 97222 - Phone
- (971) 206-5140
- Fax
- (971) 206-5209
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4621 | OR | Primary |
Addresses
Primary practice location
4560 SE International Way
Consonus Rehab Services
Milwaukee, OR 97222
Mailing address
4560 SE International Way
Milwaukee, OR 97222
Phone (971) 206-5140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 298991 | Other | OR | OMAP NUMBER |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Northwest Occupational Therapy | 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.
-
- Occupational Therapist
- Astoria, OR
- NPI 1427241694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164594743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 SE INTERNATIONAL WAY",
"city": "MILWAUKEE",
"state": "OR",
"postal_code": "97222",
"telephone_number": "971-206-5140",
"fax_number": "971-206-5209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 SE INTERNATIONAL WAY",
"address_2": "CONSONUS REHAB SERVICES",
"city": "MILWAUKEE",
"state": "OR",
"postal_code": "97222",
"telephone_number": "971-206-5140",
"fax_number": "971-206-5209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "JOSH",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "4621",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMAP NUMBER",
"identifier": "298991",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.