Active NPI
Andrew Rogers, OTR/L
- Rehabilitation Practitioner
- Biddeford, ME
National Provider Identifier
1629638226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 1703
- Practice address
- 46 Barra Rd
Biddeford, ME 04005-9459 - Phone
- (207) 294-8399
- NPI assigned
- Jun 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 1703 | ME | Primary |
Addresses
Primary practice location
46 Barra Rd
Biddeford, ME 04005-9459
Mailing address
46 Barra Rd
Biddeford, ME 04005-9459
Phone (207) 294-8399
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | awrogers@smhc.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1703 | ME | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1629638226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 BARRA RD",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059459",
"telephone_number": "207-294-8399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 BARRA RD",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059459",
"telephone_number": "207-294-8399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "ANDREW",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-17",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "ME",
"license": "1703",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "awrogers@smhc.org",
"affiliation": "N",
"endpointDescription": "hospital email",
"address_1": "1 Medical Center Dr",
"city": "Biddeford",
"state": "ME",
"country_code": "US",
"postal_code": "040059422",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.