Alicia Rogers

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTP-PTA-LIC-11241 Issued in MT

Practice address

1410 S Reserve St
Missoula, MT 59801-4758

Phone

(406) 829-9600

NPI assigned

Apr 27, 2022

Last updated

Apr 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Active Physical Therapy & Sports Injury Center, LLC

  • Physical Therapist
  • Missoula, MT
  • NPI 1316949340
  NPD

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1356085039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W CENTRAL AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 S RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598014758",
            "telephone_number": "406-829-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MT",
            "license": "PTP-PTA-LIC-11241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Roda, DPT
• Kaitlyn Rode
• Teresa C Rodriguez, PA-C
• Sarah Elizabeth Roeder, L.M.T., R.Y.T.
• Robert R Roeper, D.O.
• Brielle Rogers, DMD
• Dorothy Elizabeth Rogers, LCSW
• Jeffrey Richard Rogers, BBH-ACLC-LIC 64043
• Kathleen S Rogers, MD
• Lindsay Marie Rogers, D.D.S

• Physical Therapy Assistant in Missoula, MT
• Providers in Missoula, MT by specialty
• Physical Therapy Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.