Active NPI
Thomas Rogers Jr.
- Prosthetics Case Management
- Plano, TX
National Provider Identifier
1720671563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 4909 W. Park Blvd
Suite 157 Room 25
Plano, TX 75093 - Phone
- (214) 454-0896
- NPI assigned
- Feb 12, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | Primary |
Addresses
Primary practice location
4909 W. Park Blvd
Suite 157 Room 25
Plano, TX 75093
Mailing address
4909 W. Park Blvd
Suite 157 Room 25
Plano, TX 75093
Phone (214) 454-0896
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": "1613088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1720671563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4909 W. PARK BLVD",
"address_2": "SUITE 157 ROOM 25",
"city": "PLANO",
"state": "TX",
"postal_code": "75093",
"telephone_number": "214-454-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4909 W. PARK BLVD",
"address_2": "SUITE 157 ROOM 25",
"city": "PLANO",
"state": "TX",
"postal_code": "75093",
"telephone_number": "214-454-0896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "THOMAS",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-12",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.