Individual provider Active NPI

Jarrod Rogers

  • Physical Therapist
  • Little Rock, AR
National Provider Identifier
1316721244
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5382 Issued in AR
Practice address
1909 Hinson Loop Rd Ste 100
Little Rock, AR 72212-3903
Phone
(501) 301-4530
Fax
(501) 251-1165
NPI assigned
Aug 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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 PT5382 AR Primary

Addresses

Primary practice location

1909 Hinson Loop Rd Ste 100
Little Rock, AR 72212-3903

Mailing address

1909 Hinson Loop Rd Ste 100
Little Rock, AR 72212-3903
Phone (501) 301-4530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230906001310 AR Practitioner - Physical Therapist in Private Practice 0941663124
I20240909004506 NC Practitioner - Physical Therapist in Private Practice 0941663124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina ChiropracticGroup PAC ID 5395780860, 7 clinicians

Practice addresses (Care Compare)

728 Village Rd
Shallotte, NC 28470-3412
Phone (910) 755-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Chiropractic CurrentSince Aug 12, 2024 Accepting new patients

Organizations & group practices 1

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": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1316721244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 HINSON LOOP RD STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722123903",
            "telephone_number": "501-301-4530",
            "fax_number": "501-251-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 HINSON LOOP RD STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722123903",
            "telephone_number": "501-301-4530",
            "fax_number": "501-251-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JARROD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT5382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.