Brendan I Rodgers, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA010211 Issued in OH

Practice address

339 E Maple St
North Canton, OH 44720-2593

Phone

(330) 498-8200

NPI assigned

Jun 6, 2017

Sex

Male

Sole proprietor

No

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": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780113688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2849 CENTER AVE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446015411",
            "telephone_number": "330-257-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 E MAPLE ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202593",
            "telephone_number": "330-498-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2849 Center Ave",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "446015411",
            "country_code": "US",
            "telephone_number": "330-257-4745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "BRENDAN",
        "middle_name": "I",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA010211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Robinson, PT
• Nikki S Robinson, LPTA
• Mark Robison
• Leslie Kay Robson, NP-C
• Michele Rockenfelder, LPTA
• Cheryl Rodriguez
• Daniel W Rodriguez, MD
• Meghan K Roessler, COTA/L
• Brooke Rogers
• Ekaterina Rogers

• Physical Therapy Assistant in North Canton, OH
• Providers in North Canton, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.