Tracey Mayer Rogers, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT003366 Issued in GA

Practice address

702 Avrett Cir
Evans, GA 30809-6676

Phone

(706) 210-1523

NPI assigned

Dec 29, 2011

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

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.

• Proactive Rehabilitation & Wellness LLC

  • Occupational Therapist
  • Augusta, GA
  • NPI 1518577733

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1598034027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 AVRETT CIR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308096676",
            "telephone_number": "706-210-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 AVRETT CIR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308096676",
            "telephone_number": "706-210-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "TRACEY",
        "middle_name": "MAYER",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT003366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Robinson
• Jordyn Rodgers
• Emily Jade Rogers, FNP-C
• Rebecca Rogers, PHD
• Steven Gregory Rogers, M.D.
• Casey N Roland, O.D.
• Samuel Thomas Rolley, CNMT
• Amy B Ross, OTR/L
• Blake Taylor Ross, DMD
• Mary Ross

• Physical Therapist in Evans, GA
• Providers in Evans, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.