Individual provider Active NPI

Keely A Rogers, P.T.

  • Physical Therapist
  • Cherokee Village, AR
National Provider Identifier
1336137447
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 2418 Issued in AR
Practice address
31 Choctaw Center
Cherokee Village, AR 72529-2702
Phone
(870) 856-4325
Fax
(870) 856-4327
NPI assigned
Oct 12, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2418 AR
Physical Therapist 225100000X PT 2418 AR Primary

Addresses

Primary practice location

31 Choctaw Center
Cherokee Village, AR 72529-2702

Mailing address

PO Box 398
Hardy, AR 72542-0398
Phone (870) 847-3777

Other practice location 1

1995 Highway 62 412
Highland, AR 72542-9262
Phone (870) 856-4325

Other identifiers 2

IdentifierTypeStateIssuer
142606721MedicaidAR
5X070OtherARARKANSAS BLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110128000541 AR Practitioner - Physical Therapist in Private Practice 0446439954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Works, IncGroup PAC ID 0840422895, 2 clinicians

Practice addresses (Care Compare)

31 Choctaw Ctr
Cherokee Village, AR 72529-7430
Phone (870) 856-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Works, Inc. Physical Therapist CurrentSince Jan 2, 2014 Accepting new patients
Therapy Works, Inc. Physical Therapist Past Accepting new patients

Locations

1995 Highway 62 412
Highland, AR 72542
Phone (870) 856-4325

Organizations & group practices 2

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1336137447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725420398",
            "telephone_number": "870-847-3777",
            "fax_number": "870-856-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 CHOCTAW CENTER",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725292702",
            "telephone_number": "870-856-4325",
            "fax_number": "870-856-4327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1995 Highway 62 412",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "AR",
            "postal_code": "725429262",
            "country_code": "US",
            "telephone_number": "870-856-4325",
            "fax_number": "870-856-4327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KEELY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2418",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 2418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142606721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS",
            "identifier": "5X070",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherokee Village, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.