Jimmy Dale Rogers III, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3814 Issued in OK

Practice address

301 S J T Stites St
Sallisaw, OK 74955-9302

Phone

(918) 775-9150

Fax

(918) 774-1498

NPI assigned

Apr 13, 2026

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

Other names 1

• Mr. Trey Dale Rogers Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Premier Home Health Care, Inc.

  • Home Health Agency
  • Muldrow, OK
  • NPI 1780603134
  NPD

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1821931999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S J T STITES ST",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749559302",
            "telephone_number": "918-775-9150",
            "fax_number": "918-774-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S J T STITES ST",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749559302",
            "telephone_number": "918-775-9150",
            "fax_number": "918-774-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JIMMY",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TREY",
            "last_name": "ROGERS",
            "middle_name": "DALE",
            "prefix": "MR.",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rick L. Robbins, D.O.
• Henri Jade Roberts-Casey, DMD
• Justin Roberts, DDS
• Macaiah Marie Rodgers
• Cynthia Lovern Rogers, ARNP
• Nancy A Rogow, MANAGEMENT
• Darrin Thomas Ross
• Sherry Lynn Rouse, RN
• Vickie R Rowell
• Natalie Elise Russell, R.D.

• Physical Therapy Assistant in Sallisaw, OK
• Providers in Sallisaw, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.