Stacy Ann Rogers, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305206045 Issued in VA

Practice address

12052 N Shore Dr
North Shore
Reston, VA 20190-4969

Phone

(703) 481-0528

NPI assigned

Jul 14, 2009

Last updated

Jul 14, 2009By 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

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1467681205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12160 EDDYSPARK DR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201702537",
            "telephone_number": "703-435-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12052 N SHORE DR",
            "address_2": "NORTH SHORE",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904969",
            "telephone_number": "703-481-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "STACY",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Luisa Robison, LPN
• Paris Monet Rodgers, PA-C
• Rodolfo H Gonzalez MD. PC
• Jorge Rodriguez, PH.D.
• Tiffany Rodriguez
• Amin Rokni
• Tomoko Taguchi Rose, MA
• Tammy Z Rosenthal, MD
• Rostami Ophthalmic Plastic Consultant LLC (Ophthalmic Plastic Consultants)
• Soheila Rostami, MD

• Physical Therapist in Reston, VA
• Providers in Reston, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.