Individual provider Active NPI

Andrew Rogers, OTR/L

  • Rehabilitation Practitioner
  • Biddeford, ME
National Provider Identifier
1629638226
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
1703 Issued in ME
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

Updated by the provider on Jun 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
1703MEMDRehabilitation 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.

Verify at the official NPI Registry.