Individual provider Active NPI

Walter F Rogers, DPT

  • Physical Therapist
  • Durango, CO
National Provider Identifier
1205575925
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0018090 Issued in CO
Practice address
229 Jenkins Ranch Rd Unit a
Durango, CO 81301-9462
Phone
(315) 436-8200
NPI assigned
Jun 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0018090 CO
Physical Therapist 225100000X PT6080 NM
Physical Therapist 225100000X PTL.0018090 CO Primary

Addresses

Primary practice location

229 Jenkins Ranch Rd Unit a
Durango, CO 81301-9462

Mailing address

229 Jenkins Ranch Rd Unit a
Durango, CO 81301-9462
Phone (315) 436-8200

Other practice location 1

130 Rock Point Dr Ste C
Durango, CO 81301-7728
Phone (970) 247-7895

Other practice location 2

3701 Messina Dr Ste 108
Farmington, NM 87402-4780
Phone (505) 258-4003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220817000812 CO Practitioner - Physical Therapist in Private Practice 8224411764 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0018090COMDPhysical Therapist
PT6080NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Physical Therapy Inc Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Rivergate Physical Therapy, PC Physical Therapist CurrentSince Sep 21, 2023 Accepting new patients

Locations

575 Rivergate Ln
Unit 208
Durango, CO 81301
Phone (970) 259-2547

3701 Messina Dr
Ste 108
Farmington, NM 87402
Phone (505) 258-4003

Organizations & group practices 2

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": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1205575925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 JENKINS RANCH RD UNIT A",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813019462",
            "telephone_number": "315-436-8200",
            "fax_number": "315-218-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 JENKINS RANCH RD UNIT A",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813019462",
            "telephone_number": "315-436-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Rock Point Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813017728",
            "country_code": "US",
            "telephone_number": "970-247-7895",
            "fax_number": "970-459-8404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3701 Messina Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874024780",
            "country_code": "US",
            "telephone_number": "505-258-4003",
            "fax_number": "505-436-2740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "WALTER",
        "middle_name": "F",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0018090",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT6080",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0018090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.