Individual provider Active NPI

Heather Marie Rogers, D.P.T.

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1578859294
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-03129 Issued in KS
Practice address
716 N 119TH St W
Ste 112
Wichita, KS 67235-1938
Phone
(316) 721-1900
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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 11-03129 KS Primary

Addresses

Primary practice location

716 N 119TH St W
Ste 112
Wichita, KS 67235-1938

Mailing address

716 N 119TH St W
Ste 112
Wichita, KS 67235-1938
Phone (316) 721-1900

Other names 1

  • Heathet Marie Hanson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111018000031 KS Practitioner - Physical Therapist in Private Practice 4183896160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Physical Therapy, LLCGroup PAC ID 7810264520, 6 clinicians

Practice addresses (Care Compare)

9330 E Central Ave
Suite 300
Wichita, KS 67206-2561
Phone (316) 358-7665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-03129KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Physical Therapy, LLC Physical Therapist CurrentSince Mar 28, 2017 Accepting new patients

Locations

716 N 119th St W
Ste 112
Wichita, KS 67235
Phone (316) 617-5212

10209 W Central Ave
Ste 1
Wichita, KS 67212
Phone (316) 202-8285

9330 E Central Ave
Ste 300
Wichita, KS 67206
Phone (316) 358-7665

Organizations & group practices 1

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1578859294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 N 119TH ST W",
            "address_2": "STE 112",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672351938",
            "telephone_number": "316-721-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 N 119TH ST W",
            "address_2": "STE 112",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672351938",
            "telephone_number": "316-721-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHET",
            "last_name": "HANSON",
            "middle_name": "MARIE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.