Active NPI
Bradley Rogers, PTA
- Physical Therapy Assistant
- West, TX
National Provider Identifier
1235927542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2090362
- Practice address
- 503 Meadow Dr
West, TX 76691-1018 - Phone
- (254) 826-5354
- NPI assigned
- Apr 28, 2025
- Last updated
- Apr 28, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 2090362 | TX | Primary |
Addresses
Primary practice location
503 Meadow Dr
West, TX 76691-1018
Mailing address
660 Greenwood LN
Waco, TX 76705-5226
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2090362 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1235927542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 GREENWOOD LN",
"city": "WACO",
"state": "TX",
"postal_code": "767055226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 MEADOW DR",
"city": "WEST",
"state": "TX",
"postal_code": "766911018",
"telephone_number": "254-826-5354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "BRADLEY",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-04-28",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2090362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West, TX
- P S Well-Child Clinic
- Ankit Patel, RPH
- Stacey Lynne Ready, APRN FNP-C
- Sarah A Reed, MS OTR/L
- Richard E Davis, DC, PLLC (Mellgren Chiropractic Clinic At West)
- Brandi Scherrer, PTA
- Terri Shelton, OTA
- George Norvell Smith, D O
- Paula Ann Snokhous, PA-C
- South Limestone Hospital District (West Rest Haven)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.