Kimberly Rogers, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT014822 Issued in OH

Practice address

2655 Commons Blvd Ste 120
Beavercreek, OH 45431-3811

Phone

(937) 320-9131

Fax

(937) 320-9132

NPI assigned

Jun 23, 2014

Last updated

Oct 24, 2022By 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 2

Addresses

Other names 1

• Kimberly Gould Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Professional Therapeutic Services Inc

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Huber Heights, OH
  • NPI 1174529358
  NPD
• Professional Therapeutic Services, Inc.

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Piqua, OH
  • NPI 1023686979

  Physical Therapist

  NPD

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1538574124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 COMMONS BLVD STE 120",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313811",
            "telephone_number": "937-320-9131",
            "fax_number": "937-320-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 COMMONS BLVD STE 120",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313811",
            "telephone_number": "937-320-9131",
            "fax_number": "937-320-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KIMBERLY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208776",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT014822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "GOULD",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Elizabeth Rodes, M.D.
• Sharon Rodgers, FNP
• Nicole Jean Rodriguez-Borasz, CNP
• Janna Marie Rodriguez
• Jessica Lyn Rogers, PHARMD
• Toni Denise Rogers, M.D.
• Ronald a. Vitullo, DDS, LLC
• Aleesa Nicole Rosas, DO
• Donna Jean Ross, LPN
• James M Rosselit Jr., DO

• Physical Therapist in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.