Frances Roggen, PT, PA

Individual provider Active NPI Physical Therapist · Mountainair, NM

NPI 1801923297 · NPPES record last updated Sep 11, 2015

Key facts

NPI
1801923297
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
16028 (MD)
Practice address
121 Rte 60
Suite 103
Mountainair, NM 87036-0888
Phone
(410) 979-6143
Fax
(505) 847-3636
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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 fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
16028MDMDDentist
3908NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paradigm Physical Therapy and Wellness Inc Physical Therapist Past
since Oct 5, 2015
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16028 MD Yes
Physical Therapist 225100000X 3908 NM

Addresses

Primary practice location

121 Rte 60
Suite 103
Mountainair, NM 87036-0888

Mailing address

PO Box 888
Mountainair, NM 87036-0888
Phone (410) 979-6143

Other providers in Mountainair, NM

All providers in Mountainair, NM · Physical Therapist in New Mexico

Sources for this page

Verify at the official NPI Registry.