NPIMap

Organization Active NPI

Sheridan Physical Therapy Clinic

Doing business as Roger Saenger, RPT

  • Physical Therapist
  • Sheridan, AR
National Provider Identifier
1730188350
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT860 Issued in AR
Legal business name
SHERIDAN PHYSICAL THERAPY CLINIC
Doing business as
Roger Saenger, RPT
Practice address
15 Opportunity Dr
Sheridan, AR 72150-9185
Phone
(870) 942-8335
Fax
(870) 942-2234
NPI assigned
Jul 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Authorized official

Name
Mr. Roger W Saenger, RPTNPI 1275554081
Title
Director and Owner
Phone
(870) 942-8335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT860 AR Primary
Pediatric Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251P0200X PT860 AR

Addresses

Primary practice location

15 Opportunity Dr
Sheridan, AR 72150-9185

Mailing address

15 Opportunity Dr
Sheridan, AR 72150-9185
Phone (870) 942-8335

Other identifiers 3

IdentifierTypeStateIssuer
5S214OtherARBCBS - INDIVIDUAL
133355742MedicaidAR
123181721MedicaidAR

Other names 1

  • Roger Saenger, RPT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200124001399 AR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8325182314 Receives reassigned benefits from 1 practitioner
Practice locations: Sheridan, AR

National Provider Directory

National Provider Directory

Locations

15 Opportunity Dr
Sheridan, AR 72150
Phone (870) 942-3335

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1730188350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OPPORTUNITY DR",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721509185",
            "telephone_number": "870-942-8335",
            "fax_number": "870-942-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OPPORTUNITY DR",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721509185",
            "telephone_number": "870-942-8335",
            "fax_number": "870-942-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN PHYSICAL THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "SAENGER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR AND OWNER",
        "authorized_official_telephone_number": "870-942-8335",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT860",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AR",
            "license": "PT860",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - INDIVIDUAL",
            "identifier": "5S214",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133355742",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123181721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roger Saenger, RPT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheridan, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.