Shelley K Rogers, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

710-019 Issued in WI

Practice address

7201 Green Bay Rd
Kenosha, WI 53142-3522

Phone

(262) 694-3977

Fax

(262) 694-5648

NPI assigned

Sep 21, 2006

Last updated

Jul 8, 2007By 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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548369283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16622 PLANK RD",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531829697",
            "telephone_number": "262-878-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 GREEN BAY RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531423522",
            "telephone_number": "262-694-3977",
            "fax_number": "262-694-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "SHELLEY",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "710-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tylor Rockwell
• Sarah Rodarte
• Rodrigo B Mata III, M.D., S.C.
• Rebecca J Rodriguez
• Megan Roethle, CCP, RN
• Lizabeth Rogge, LCSW,CSAC
• Roxane Rohani
• Romanak Vision Inc.
• Joseph Romanak
• Elaine Romenesko, SLP

• Physical Therapy Assistant in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.