Kacy Ann Rogers, PTA
Individual provider Active NPI Physical Therapy Assistant · Lexington, IL
NPI 1669018149 · NPPES record last updated Nov 20, 2019
Key facts
- NPI
- 1669018149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160.004045 (IL)
- Practice address
- 105 Melissa Dr
Lexington, IL 61753-1711 - Phone
- (309) 472-2345
- NPI assigned
- Nov 20, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160.004045 | IL | MD | Physical Therapy Assistant |
| 160004045 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160004045 | IL | |
| Physical Therapy Assistant | 225200000X | 160.004045 | IL | Yes |
Addresses
Primary practice location
105 Melissa Dr
Lexington, IL 61753-1711
Mailing address
105 Melissa Dr
Lexington, IL 61753-1711
Phone (309) 472-2345
Other names
- Kacy Ann Lainhart
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Health Information Exchange (HIE) |
Other providers in Lexington, IL
- Christie Clinic, LLC
- Lexington Ambulance Association
- Lexington Community Fire Protection District
- Tara Kay McGraw
- Elizabeth Ellen Meiss
- Samuel E. Steffen
- Savannah Rachel Swanlund
- Ultra Physical Therapy LLC
- Trudy Jane Vogel
- Teresa Michele Ziegler
All providers in Lexington, IL · Physical Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.