Active NPI
Michael Rogers, PT
- Physical Therapist
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00008089
- 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
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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00008089 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Health Consulting, LLC | Current | Accepting new patients | |
| Seattles Elite Physical Therapy PS | Physical Therapist | Current | Accepting new patients |
| Functional Health Consulting, LLC | Current | Accepting new patients | |
| Bouldercentre for Orthopedics PC | Current | Accepting new patients | |
| Bouldercentre for Orthopedics | Physical Therapist | Past | Accepting new patients |
| Hayashida & Associates Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Movement Systems Physical Therapy, P.S. | Physical Therapist | Past | 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.
-
dba Vida Integrated Health
- Sports Physician Chiropractor
- Seattle, WA
- NPI 1871801522
-
- Orthopedic Physical Therapist
- Seattle, WA
- NPI 1558780163
-
- Orthopaedic Surgery Physician
- Boulder, CO
- NPI 1336197631
-
dba Vida Integrated Health
- Sports Physician Chiropractor
- Seattle, WA
- NPI 1538645288
-
- Physical Therapist
- Boulder, CO
- NPI 1952427049
-
- Physical Therapist
- Santa Barbara, CA
- NPI 1316032196
-
- Physical Therapist
- Seattle, WA
- NPI 1659324051
-
- Ambulatory Surgical Clinic/Center
- Santa Barbara, CA
- NPI 1144648015
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.