Individual provider Active NPI

Sarah Jean Rogers, PT

  • Physical Therapist
  • South Birlington, VT
National Provider Identifier
1780649657
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0400003395 Issued in VT
Practice address
150 Kennedy Dr
South Birlington, VT 05403
Phone
(802) 862-4670
Fax
(802) 862-4431
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

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

LicenseStateTypeSpecialty
0400003395VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hoeppner Physical Therapy Limited Partnership Physical Therapist PastSince Apr 20, 2015 Accepting new patients
Champlain Medical Associates PLLC PastSince Aug 1, 2012 Accepting new patients
Excel Physical Therapy Inc Physical Therapist PastSince Oct 1, 2015 Accepting new patients
Physical Therapy Center of Vermont LLC Physical Therapist PastSince Apr 1, 2011 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0400003395 VT Primary

Addresses

NPPES NPI Registry

Primary practice location

150 Kennedy Dr
South Birlington, VT 05403

Mailing address

59 Saybrook Rd
Essex Junction, VT 05452
Phone (802) 872-0301

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
5666869001OtherVTCIGNA
OVN2167MedicaidVT

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780649657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 SAYBROOK RD",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "05452",
            "telephone_number": "802-872-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 KENNEDY DR",
            "city": "SOUTH BIRLINGTON",
            "state": "VT",
            "postal_code": "05403",
            "telephone_number": "802-862-4670",
            "fax_number": "802-862-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "SARAH",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400003395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5666869001",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN2167",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Birlington, VT

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.