Allisyn Danielle Roglin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2158781 Issued in TX

Practice address

3141 Dalhart Dr
Fort Worth, TX 76179-2663

Phone

(851) 481-7918

NPI assigned

Oct 31, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1720800592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10133 CHAPEL OAK TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761161234",
            "telephone_number": "817-907-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 DALHART DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761792663",
            "telephone_number": "851-481-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGLIN",
        "first_name": "ALLISYN",
        "middle_name": "DANIELLE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2158781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J. Rogers, M.D.
• Roman C Rogers, DC
• Shannon Rogers
• Treka Rogers, CPNP
• Elizabeth Rogg, RD, DT
• Karen Freck Rognerud, CPNP
• Rohan Clarke MD PA
• Ethan Graham Rohm, M.S., LPC ASSOCIATE
• Fred W Rohm, DO
• Sydney Rohmann, BCBA

• Physical Therapy Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.