Individual provider Active NPI

Michael Rogers, PT

  • Physical Therapist
  • Boulder, CO
National Provider Identifier
1497806103
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00008089 Issued in WA
Practice address
4740 Pearl Pkwy Ste 300
Boulder, CO 80301-3080
Phone
(303) 449-2730
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 00008089 WA Primary

Addresses

Primary practice location

4740 Pearl Pkwy Ste 300
Boulder, CO 80301-3080

Mailing address

3221 Eastlake Ave E
Ste 110
Seattle, WA 98102-7125
Phone (206) 405-1864

Other practice location 1

3221 Eastlake Ave E
Ste 110
Seattle, WA 98102-7125
Phone (206) 405-1864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060209000717 WA Practitioner - Physical Therapist in Private Practice 8426049123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Functional Health Consulting LLCGroup PAC ID 1759560709, 36 clinicians

Practice addresses (Care Compare)

11901 NE Village PLZ
Suite 261
Kirkland, WA 98034-5092
Phone (425) 814-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00008089WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Health Consulting, LLC CurrentSince Nov 17, 2025 Accepting new patients
Seattles Elite Physical Therapy PS Physical Therapist CurrentSince Apr 16, 2024 Accepting new patients
Functional Health Consulting, LLC CurrentSince Nov 17, 2025 Accepting new patients
Bouldercentre for Orthopedics PC CurrentSince Aug 24, 2022 Accepting new patients
Bouldercentre for Orthopedics Physical Therapist PastSince Oct 8, 2023 Accepting new patients
Hayashida & Associates Physical Therapy, Inc. Physical Therapist PastSince Feb 1, 2016 Accepting new patients
Movement Systems Physical Therapy, P.S. Physical Therapist PastSince Jan 1, 1998 Accepting new patients
Sansum Clinic Past Accepting new patients

Locations

4740 Pearl Pkwy
Ste 200
Boulder, CO 80301

4740 Pearl Pkwy
Ste 300
Boulder, CO 80301
Phone (303) 442-2666

15 SW Everett Mall Way
Ste G
Everett, WA 98204
Phone (425) 355-5222

11901 NE Village Plz
Ste 261
Kirkland, WA 98034
Phone (425) 814-2800

1521 Queen Anne Ave N
Seattle, WA 98109
Phone (206) 946-6655

2014 E Madison St
Ste 100
Seattle, WA 98122
Phone (206) 726-9551

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1497806103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 EASTLAKE AVE E",
            "address_2": "STE 110",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981027125",
            "telephone_number": "206-405-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 PEARL PKWY STE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013080",
            "telephone_number": "303-449-2730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3221 Eastlake Ave E",
            "address_2": "Ste 110",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981027125",
            "country_code": "US",
            "telephone_number": "206-405-1864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "00008089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.