Active NPI
Robert Edward Vogler, M.S.P.T.
- Pediatric Physical Therapist
- Russellville, AR
National Provider Identifier
1801012828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT1700
- Practice address
- 826 N Denver Ave
Russellville, AR 72801-3405 - Phone
- (479) 857-3298
- NPI assigned
- Apr 18, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT1700 | AR | Primary |
Addresses
Primary practice location
826 N Denver Ave
Russellville, AR 72801-3405
Mailing address
826 N Denver Ave
Russellville, AR 72801-3405
Phone (479) 857-3298
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5U952 | Other | AR | AR BLUE CROSS BLUE SHIELD |
| 133796721 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3127 W 2ND CT
Suite a
Russellville, AR 72801-4566
Phone (479) 567-5362
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1700 | AR | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Pediatric Therapy | Pediatrics | Current | Accepting new patients |
| Robert Vogler, P.a. | Past | Accepting new patients |
Locations
3127 W 2nd Ct
Ste A
Russellville, AR 72801
Phone (479) 498-6360
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Russellville, AR
- NPI 1982059150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1801012828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 N DENVER AVE",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728013405",
"telephone_number": "479-857-3298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 N DENVER AVE",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728013405",
"telephone_number": "479-857-3298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGLER",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "M.S.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AR",
"license": "PT1700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BLUE CROSS BLUE SHIELD",
"identifier": "5U952",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133796721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.