Michelle K Rogers, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306604308 Issued in VA

Practice address

110 Forest Oaks Dr
Forest, VA 24551-1929

Phone

(434) 534-1913

Fax

(434) 534-1913

NPI assigned

Oct 19, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michelle K Phillips Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1316257744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FOREST OAKS DR",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245511929",
            "telephone_number": "434-534-1913",
            "fax_number": "434-534-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FOREST OAKS DR",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245511929",
            "telephone_number": "434-534-1913",
            "fax_number": "434-534-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MICHELLE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306604308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF VIRGINIA BOARD OF PHYSICAL THERAPY",
            "identifier": "2306604308",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "PHILLIPS",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura M Robert, MD
• Morgan Blair Robertson
• Ruth H Robertson, FNP
• Lee Robinson, PTA
• Susan K Roehrich, LPC
• Kaitlyn Rogojan
• Rooted Beginnings Pediatric Therapies LLC
• James A Rosser Jr.
• Amy S Roupe, LPC
• Kaitlin Royer, LPC

• Physical Therapy Assistant in Forest, VA
• Providers in Forest, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.