Keith Allen Rogers, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00966100 Issued in NJ

Practice address

199 Manito Ave
Oakland, NJ 07436-4013

Phone

(201) 921-7766

NPI assigned

Jan 24, 2007

Last updated

Jan 31, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Drexel University College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Prestige Physical Therapy, L.L.C.

  • Physical Therapy Clinic/Center
  • Norwood, NJ
  • NPI 1003932880
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1174678452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 MANITO AVE",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074364013",
            "telephone_number": "201-921-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MANITO AVE",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074364013",
            "telephone_number": "201-921-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KEITH",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00966100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perry Rogers Ricci, D.C.
• Rima a. Mason, Ma, LPC, LLC
• Richard G Rivman, DDS
• Robert J Chalemian MD PA
• Juliana G Rodriguez
• Steven A Roth, PSY.D.
• Eric Rozenblat, M.A., BCBA
• Valerie Lynn Ruberto, PMHNP-BC
• Stephen T Rutkowski, D.C.
• Eun Ju Ryu

• Physical Therapist in Oakland, NJ
• Providers in Oakland, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.