Active NPI
Patricia Anne Rogers, MA
- Speech-Language Pathologist
- Denver, CO
National Provider Identifier
1689652067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202000563
- Practice address
- 2824 Syracuse CT
Denver, CO 80238-2454 - Phone
- (703) 924-4148
- Fax
- (703) 922-0638
- NPI assigned
- Jan 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202000563 | VA | Primary |
Addresses
Primary practice location
2824 Syracuse CT
Denver, CO 80238-2454
Mailing address
10588 Canterberry Rd
Fairfax Station, VA 22039-1930
Phone (703) 924-4148
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220200536 | Other | VA | BOARD OF AUDIOLOGY |
| 02628 | Other | MD | DEPT OF HEALTH SPEECH |
| 23751215 | Medicaid | CO |
Other names 1
- Miss Patricia Anne Seymour
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202000563 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Online Therapy Works LLC | Speech-Language Pathologist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Kids Therapy Works
- Speech-Language Pathologist
- Denver, CO
- NPI 1225419039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1689652067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10588 CANTERBERRY RD",
"city": "FAIRFAX STATION",
"state": "VA",
"postal_code": "220391930",
"telephone_number": "703-924-4148",
"fax_number": "703-922-5048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2824 SYRACUSE CT",
"city": "DENVER",
"state": "CO",
"postal_code": "802382454",
"telephone_number": "703-924-4148",
"fax_number": "703-922-0638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "PATRICIA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-05",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202000563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF AUDIOLOGY",
"identifier": "220200536",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF HEALTH SPEECH",
"identifier": "02628",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "23751215",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "SEYMOUR",
"middle_name": "ANNE",
"prefix": "MISS",
"credential": "MA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.