Active NPI
Katie Elizabeth Rogers, CMT
- Massage Therapist
- Forestville, CA
National Provider Identifier
1497444244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 28392
- Practice address
- 11610 Our Peak Rd
Forestville, CA 95436-9445 - Phone
- (707) 357-1797
- NPI assigned
- May 5, 2023
- Last updated
- May 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 28392 | CA | Primary |
Addresses
Primary practice location
11610 Our Peak Rd
Forestville, CA 95436-9445
Mailing address
11610 Our Peak Rd
Forestville, CA 95436-9445
Phone (707) 357-1797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28392 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1497444244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11610 OUR PEAK RD",
"city": "FORESTVILLE",
"state": "CA",
"postal_code": "954369445",
"telephone_number": "707-357-1797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11610 OUR PEAK RD",
"city": "FORESTVILLE",
"state": "CA",
"postal_code": "954369445",
"telephone_number": "707-357-1797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "KATIE",
"middle_name": "ELIZABETH",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-05",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "28392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forestville, CA
- Robin Raike, PH.D.
- Nina Elizabeth Redman, RD
- Amanda Alicen Reece, M.S., CCC-SLP
- Madelyne Desiree Reid I
- Richard Rosen Acupuncture, Inc.
- Richard Stuart Rosen, L.AC.
- Karol Hoff Scheiner, D.D.S.
- Sever Effectiveness Strategies Inc (Mark Sever Physical Therapy)
- Mark Joseph Sever, MSPT
- Lynne Spillinger, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.