Kelly Marie Rogers, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22994 Issued in MD

Practice address

1205 York Rd
Ste 19
Lutherville, MD 21093-6210

Phone

(410) 296-9195

Fax

(410) 296-9197

NPI assigned

Sep 22, 2009

Last updated

May 4, 2020By 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

Other names 1

• Ms. Kelly Marie Tarr Former name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Fitness Physical Therapy LLCGroup PAC ID 2466416581, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Life Fitness Physical Therapy LLC

  • Physical Therapist
  • Glen Burnie, MD
  • NPI 1932160595
  Medicare reassignment Care Compare group NPD
• Life Fitness Physical Therapy LLC

  dba Herbst Physical Therapy

  • Physical Therapist
  • Towson, MD
  • NPI 1386077519
  NPD
• Life Fitness Physical Therapy LLC

  • Physical Therapist
  • Westminster, MD
  • NPI 1992953392
  NPD
• Life Fitness Physical Therapy LLC

  • Physical Therapist
  • Ellicott City, MD
  • NPI 1285882670
  NPD (past)
• Rosenblatt-Schehr, PA

  dba Pain Relief & Sports Rehabilitation Physical Therapy Center

  • Physical Therapist
  • Baltimore, MD
  • NPI 1376734764
  NPD (past)

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1396079448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 YORK RD",
            "address_2": "STE 19",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936210",
            "telephone_number": "410-296-9195",
            "fax_number": "410-296-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 YORK RD",
            "address_2": "STE 19",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936210",
            "telephone_number": "410-296-9195",
            "fax_number": "410-296-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "TARR",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Howard N Robinson, M.D.
• Mindy Rockwood, OT
• Ricardo Luis Rodriguez, MD
• Kelly Rogan
• Christopher Rogers
• Marci Ann Rolker, LCPC
• Rooted Integrative Psychiatry LLC
• Beebe Rose
• Eric Rose
• Jonathan Daniel Rose, DPM

• Physical Therapist in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.