Active NPI
David A Rogers, PT
- Physical Therapist
- Cuyahoga Falls, OH
National Provider Identifier
1730161977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3977
- Practice address
- 650 Graham Rd
107
Cuyahoga Falls, OH 44221-1052 - Phone
- (330) 920-1002
- Fax
- (330) 920-0923
- NPI assigned
- Nov 15, 2005
- Last updated
- Sep 22, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3977 | OH | Primary |
Addresses
Primary practice location
650 Graham Rd
107
Cuyahoga Falls, OH 44221-1052
Mailing address
7363 W Lake Blvd
Kent, OH 44240
Phone (330) 618-3046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT03977 | Other | OH | OHIO BOARD OF PT OT AND A |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3977 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph B Blanda MD Inc | Past | Accepting new patients | |
| Portage Physical Therapists Inc | Physical Therapist | Past | Accepting new patients |
| Orthopaedics Inc. | Past | Accepting new patients | |
| Portage Physical Therapist | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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Physical Therapist
-
dba Allied Health Rehab Centers
- Physical Therapist
- Cuyahoga Falls, OH
- NPI 1487645206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506038400000",
"number": "1730161977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7363 W LAKE BLVD",
"city": "KENT",
"state": "OH",
"postal_code": "44240",
"telephone_number": "330-618-3046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 GRAHAM RD",
"address_2": "107",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442211052",
"telephone_number": "330-920-1002",
"fax_number": "330-920-0923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "DAVID",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2017-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT3977",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO BOARD OF PT OT AND A",
"identifier": "PT03977",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cuyahoga Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.