Jessica A Rogers, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA002387 Issued in GA

Practice address

1551 Jennings Mill Rd Unit 1700a
Bogart, GA 30622-2566

Phone

(706) 369-9099

NPI assigned

Jun 30, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1679701445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 JENNINGS MILL RD UNIT 1700A",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306222566",
            "telephone_number": "706-369-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 JENNINGS MILL RD UNIT 1700A",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306222566",
            "telephone_number": "706-369-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA002387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryjane N Randels, FNP-ENP
• Martha Ranson, M.S CCC-SLP
• Ready and Forward ENT LLC
• John Ernest Reed, MD
• Margaret Coghill Reinberger, PT
• Natalie Spif Romines, SNP
• Michael Anthony Samel, DO
• Gregory Brian Seagraves, PHARM D
• Vandana N Setia, MD
• Maresa Evane Smith, OT

• Physical Therapy Assistant in Bogart, GA
• Providers in Bogart, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.