Individual provider Active NPI

Roger Gillman Egland, PHYSICAL THERAPIST

  • Physical Therapist
  • Pocahontas, IA
National Provider Identifier
1700026507
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00200 Issued in IA
Practice address
700 NW 7TH St
Pocahontas, IA 50574-2206
Phone
(712) 335-3386
NPI assigned
Mar 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 00200 IA Primary

Addresses

Primary practice location

700 NW 7TH St
Pocahontas, IA 50574-2206

Mailing address

110 Grand Ave
Storm Lake, IA 50588-1607
Phone (712) 732-5382

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

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1700026507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GRAND AVE",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881607",
            "telephone_number": "712-732-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NW 7TH ST",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "505742206",
            "telephone_number": "712-335-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGLAND",
        "first_name": "ROGER",
        "middle_name": "GILLMAN",
        "name_prefix": "Dr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "00200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocahontas, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.