Individual provider Active NPI

Paul E Rogers, DPT, PT

  • Physical Therapist
  • Conway, AR
National Provider Identifier
1750488185
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2502 Issued in AR
Practice address
814 North Creek Dr.
Suite B
Conway, AR 72032
Phone
(501) 327-0000
Fax
(501) 327-0070
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2502 AR Primary

Addresses

Primary practice location

814 North Creek Dr.
Suite B
Conway, AR 72032

Mailing address

2810 Glohaven Dr.
Conway, AR 72034
Phone (501) 327-2387

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201026001638 AR Practitioner - Physical Therapist in Private Practice 4183661960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.56 of 100Reported as group
Quality
96.67
Improvement activities
40
Cost
82.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT2502ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Pain Centers LTD CurrentSince Aug 17, 2021 Accepting new patients
Arkansas Pain Centers, LTD CurrentSince Aug 17, 2021 Accepting new patients
Harris & Renshaw Rehab Center, Inc. Physical Therapist CurrentSince Oct 5, 2020 Accepting new patients
Pinnacle Home Therapy Physical Therapist PastSince Jan 1, 2000 Accepting new patients
Occupational Health Solutions Physical Therapist Past Accepting new patients

Locations

4801 Fairway Ave
North Little Rock, AR 72116
Phone (501) 687-0328

308 Smokey Ln
North Little Rock, AR 72117
Phone (501) 255-2512

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750488185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 GLOHAVEN DR.",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72034",
            "telephone_number": "501-327-2387",
            "fax_number": "501-327-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 NORTH CREEK DR.",
            "address_2": "SUITE B",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72032",
            "telephone_number": "501-327-0000",
            "fax_number": "501-327-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "PAUL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.