Gaelyn Stasse Rogers, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P16170 Issued in NC

Practice address

90 Crossroad Hill Rd
Canton, NC 28716-3703

Phone

(828) 492-0592

Fax

(828) 492-0593

NPI assigned

Nov 3, 2010

Last updated

Mar 28, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1700187002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 OLIVE CHAPEL RD",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275028586",
            "telephone_number": "919-535-8758",
            "fax_number": "919-535-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CROSSROAD HILL RD",
            "city": "CANTON",
            "state": "NC",
            "postal_code": "287163703",
            "telephone_number": "828-492-0592",
            "fax_number": "828-492-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "GAELYN",
        "middle_name": "STASSE",
        "name_prefix": "Ms.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62 033243",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hali Reavis, COTA/L
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• Chelsea Victoria Riddle
• Robert L. Franklin, III, D.M.D., PLLC (Robert Franklin Dentistry)
• John Bush Rogers III, MD
• Susan Laura Schwager, RPH
• Silver Bluff LLC
• Christian Wyatt Singleton, PA
• Amanda Nicole Smith, PT

• Physical Therapist in Canton, NC
• Providers in Canton, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.