Individual provider Active NPI

Mary Ann Rogers, PT

  • Physical Therapist
  • Columbia Falls, MT
National Provider Identifier
1588689160
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1568 Issued in ID
Practice address
500 12TH Ave W Ste 2F
Columbia Falls, MT 59912-3869
Phone
(406) 892-0681
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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 1568 ID Primary

Addresses

Primary practice location

500 12TH Ave W Ste 2F
Columbia Falls, MT 59912-3869

Mailing address

25 Heritage Way
Kalispell, MT 59901-3100
Phone (406) 407-7990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040828000053 ID Practitioner - Physical Therapist in Private Practice 5395710883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Action Point Physical Therapy LLCGroup PAC ID 8022379569, 3 clinicians

Practice addresses (Care Compare)

102 S 1St Ave
Suite 201
Sandpoint, ID 83864-1398
Phone (208) 284-3597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1568IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake City Physical Therapy P a Physical Therapist CurrentSince Nov 20, 2024 Accepting new patients
Lake City Physical Therapy P a Physical Therapist CurrentSince Nov 20, 2024 Accepting new patients
Action Point Physical Therapy LLC Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients

Locations

2170 W Ironwood Center Dr
Coeur D Alene, ID 83814
Phone (208) 667-1988

6600 W Commercial Park Ave
Ste D
Rathdrum, ID 83858
Phone (208) 712-3634

606 N Fifth Ave
Sandpoint, ID 83864
Phone (208) 284-3597

102 S 1st Ave
Ste 201
Sandpoint, ID 83864
Phone (208) 263-1345

2605 N Boyer Ave
Sandpoint, ID 83864
Phone (208) 263-3100

Organizations & group practices 3

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1588689160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HERITAGE WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013100",
            "telephone_number": "406-407-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 12TH AVE W STE 2F",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599123869",
            "telephone_number": "406-892-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "1568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.