Organization Active NPI

Rogers Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Walla Walla, WA
National Provider Identifier
1669166278
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ROGERS PHYSICAL THERAPY, LLC
Practice address
1520 Isaacs Ave
Walla Walla, WA 99362-2357
Phone
(909) 557-3283
NPI assigned
Jun 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Gregory Rogers, PT, DPT, COSNPI 1144743568
Title
Physical Therapist/Owner
Phone
(909) 557-3283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1520 Isaacs Ave
Walla Walla, WA 99362-2357

Mailing address

111 NE C St
College Place, WA 99324-1133
Phone (909) 557-3283

Other names 1

  • Rogers Physical Therapy and Sports Performance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230808002156 WA Part B Supplier - Clinic/Group Practice 1759743768 Receives reassigned benefits from 1 practitioner
Practice locations: Walla Walla, WA

National Provider Directory

National Provider Directory

Locations

15 Jade St
Walla Walla, WA 99362
Phone (509) 730-5950

1520 Isaacs Ave
Walla Walla, WA 99362
Phone (909) 557-3283

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1669166278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NE C ST",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241133",
            "telephone_number": "909-557-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 ISAACS AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622357",
            "telephone_number": "909-557-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "909-557-3283",
        "authorized_official_credential": "PT, DPT, COS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogers Physical Therapy and Sports Performance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rogers Physical Therapy and Sports Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.