Kacy Ann Rogers, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.004045 Issued in IL

Practice address

105 Melissa Dr
Lexington, IL 61753-1711

Phone

(309) 472-2345

NPI assigned

Nov 20, 2019

Last updated

Nov 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kacy Ann Lainhart Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1669018149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MELISSA DR",
            "city": "LEXINGTON",
            "state": "IL",
            "postal_code": "617531711",
            "telephone_number": "309-472-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MELISSA DR",
            "city": "LEXINGTON",
            "state": "IL",
            "postal_code": "617531711",
            "telephone_number": "309-472-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KACY",
        "middle_name": "ANN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160004045",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.004045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "105 Melissa Dr",
            "city": "Lexington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "617531711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KACY",
            "last_name": "LAINHART",
            "middle_name": "ANN",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lexington Ambulance Association
• Lexington Community Fire Protection District
• Tara Kay McGraw, SLP
• Elizabeth Ellen Meiss, ATC
• Andrew Ponce
• Samuel E. Steffen, M.D.
• Savannah Rachel Swanlund, PTA
• Ultra Physical Therapy LLC
• Trudy Jane Vogel, APN
• Teresa Michele Ziegler

• Physical Therapy Assistant in Lexington, IL
• Providers in Lexington, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.