Individual provider Active NPI

Elizabeth Reagh Rogers, PT

  • Physical Therapist
  • Puyallup, WA
National Provider Identifier
1245587518
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60284844 Issued in WA
Practice address
16515 Meridian E
Ste 202B
Puyallup, WA 98375-6251
Phone
(253) 840-5511
Fax
(253) 840-0835
NPI assigned
Aug 6, 2012
Last updated
Jul 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60284844 WA Primary

Addresses

Primary practice location

16515 Meridian E
Ste 202B
Puyallup, WA 98375-6251

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other identifiers 2

IdentifierTypeStateIssuer
0298322OtherWADEPT. OF LABOR AND INDUSTRIES
1245587518MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121101000043 WA Practitioner - Physical Therapist in Private Practice 3779733597 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

10004 204TH Ave E
Suite 3100
Bonney Lake, WA 98391-6540
Phone (253) 987-7509

10141 224TH St E
Graham, WA 98338-9190
Phone (253) 446-6982

10550 Harbor Hill Dr
Gig Harbor, WA 98332-8944
Phone (253) 530-8970

16101 64TH St E
Sumner, WA 98390-3069
Phone (253) 891-7490

16222 Meridian E
Suite 101
Puyallup, WA 98375-6332
Phone (253) 864-7595

19321 Mountain Hwy E
Suite 100
Spanaway, WA 98387-8450
Phone (253) 846-8918

222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788

2405 N Pearl St
Suite 18
Tacoma, WA 98406-2575
Phone (253) 503-1560

25615 104TH Ave SE
Kent, WA 98030-7609
Phone (253) 872-2030

2727 Hollycroft St
Suite 310
Gig Harbor, WA 98335-1312
Phone (253) 514-6757

31653 Pacific Hwy S
Suite B
Federal Way, WA 98003-5496
Phone (253) 252-7137

3209 S 23Rd St
Suite 100
Tacoma, WA 98405-1602
Phone (253) 459-6999

407 E Main St
Auburn, WA 98002-5504
Phone (253) 545-0044

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

6704 Tacoma Mall Blvd
Suite 100
Tacoma, WA 98409-9001
Phone (253) 475-4870

8011 112TH St CT E
Puyallup, WA 98373-7814
Phone (253) 848-0662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60284844WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Physical Therapist CurrentSince Mar 5, 2018 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jul 23, 2012 Accepting new patients
Multicare Health System CurrentSince Mar 5, 2018 Accepting new patients
Multicare Health System Current Accepting new patients
Apple Physical Therapy, LLC Physical Therapist Current Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jul 23, 2012 Accepting new patients
Multicare Health System Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

407 E Main St
Auburn, WA 98002
Phone (253) 545-0044

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

10550 Harbor Hill Dr
Gig Harbor, WA 98332
Phone (253) 530-8970

2727 Hollycroft St
Ste 310
Gig Harbor, WA 98335
Phone (253) 514-6757

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

25615 104th Ave SE
Kent, WA 98030
Phone (253) 872-2030

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

9521 Gravelly Lake Dr SW
Lakewood, WA 98499
Phone (253) 983-9395

16515 Meridian E
Ste 202B
Puyallup, WA 98375
Phone (253) 466-3178

8011 112th Street Ct E
Puyallup, WA 98373
Phone (253) 848-0662

19321 Mountain Hwy E
Ste 100
Spanaway, WA 98387
Phone (253) 846-8126

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

7727 40th St W
Ste A
University Place, WA 98466
Phone (253) 460-1362

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1245587518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16515 MERIDIAN E",
            "address_2": "STE 202B",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756251",
            "telephone_number": "253-840-5511",
            "fax_number": "253-840-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ELIZABETH",
        "middle_name": "REAGH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60284844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR AND INDUSTRIES",
            "identifier": "0298322",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245587518",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.