Gary Vincent Roegiers, PT, DC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003388 Issued in CT

Practice address

80 South Main Street
Middletown, CT 06457

Phone

(860) 347-1302

Fax

(860) 347-1305

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1699709055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573606",
            "telephone_number": "860-347-1302",
            "fax_number": "860-347-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SOUTH MAIN STREET",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-347-1302",
            "fax_number": "860-347-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEGIERS",
        "first_name": "GARY",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "PT, DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "003388",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Adams Roche, APRN
• Michelle Rodriguez Aguayo, M.D., MPH
• Aurivellise Rodriguez, LPC
• Racquel Monique Rodriguez
• Roeder and Polansky Family and Child Associates
• Maryanne R. Roegiers, M.D.
• John E Rogan, MD
• Anna Rogulina
• Tina Roman, MD
• Denise L Romeo, R.PH., M.S.

• Physical Therapist in Middletown, CT
• Providers in Middletown, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.