Active NPI
Susan Milliken-Rogers, PT
- Physical Therapist
- Marblehead, MA
National Provider Identifier
1306823729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4933
- Practice address
- 1 Widger Rd
Marblehead, MA 01945-2146 - Phone
- (781) 631-8250
- Fax
- (781) 639-2060
- NPI assigned
- Dec 28, 2005
- Sex
- Female
- 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 | 4933 | MA | Primary |
Addresses
Primary practice location
1 Widger Rd
Marblehead, MA 01945-2146
Mailing address
1 Widger Rd
Marblehead, MA 01945-2146
Phone (781) 631-8250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y66990 | Other | MA | BCBS |
| 0359181 | Medicaid | MA |
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 |
|---|---|---|---|
| 4933 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1306823729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WIDGER RD",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "019452146",
"telephone_number": "781-631-8250",
"fax_number": "781-639-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WIDGER RD",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "019452146",
"telephone_number": "781-631-8250",
"fax_number": "781-639-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLIKEN-ROGERS",
"first_name": "SUSAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "4933",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y66990",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0359181",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marblehead, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.