Wilson SD Roegge, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

11509 S Fortuna Rd
Yuma, AZ 85367-7857

Phone

(928) 342-8767

NPI assigned

Aug 7, 2018

Last updated

Aug 7, 2018By the provider in NPPES

Sex

Male

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)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wilson.roegge.p2@direct.athleticoltd.nextgenshare.com

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.

• Ozark Shoulder to Hand Center LLC

  • Occupational Therapist
  • Mountain Home, AR
  • NPI 1750711743

  Physical Therapist

  NPD

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1407335888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 S 48TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623056011",
            "telephone_number": "224-600-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11509 S FORTUNA RD",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853677857",
            "telephone_number": "928-342-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEGGE",
        "first_name": "WILSON",
        "middle_name": "SD",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Fernanda Rodriguez, LPC
• Oliver Rodriguez
• Oswaldo Rodriguez, MS
• Patricia Ann Rodriguez, FNP
• Shirley Ann Rodriguez, RN
• Jason S Rogers, D.C.
• Jameison Rolle, MD
• Marina Roloff, MSN, NP-C
• Eduardo Romero
• Francisco Romero

• Physical Therapist in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.