Active NPI
Susan L Rogers, LMT
- Massage Therapist
- Walla Walla, WA
National Provider Identifier
1841423662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00024904
- Practice address
- 20 E Poplar St
Suite 206
Walla Walla, WA 99362-3099 - Phone
- (509) 527-1156
- NPI assigned
- Aug 27, 2009
- Last updated
- Aug 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00024904 | WA | Primary |
| Massage Therapist | 225700000X | 11401 | OR |
Addresses
Primary practice location
20 E Poplar St
Suite 206
Walla Walla, WA 99362-3099
Mailing address
20 E Poplar St
Suite 206
Walla Walla, WA 99362-3099
Phone (509) 527-1156
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00024904 | WA | MD | Massage Therapist |
| 11401 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251331200000",
"number": "1841423662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 E POPLAR ST",
"address_2": "SUITE 206",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993623099",
"telephone_number": "509-527-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 E POPLAR ST",
"address_2": "SUITE 206",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993623099",
"telephone_number": "509-527-1156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "SUSAN",
"middle_name": "L",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-27",
"last_updated": "2009-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00024904",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "11401",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walla Walla, WA
- Griselda Rodriguez, M.S.W
- Rogers Physical Therapy, LLC (Rogers Physical Therapy and Sports Performance)
- Gregory Rogers
- Katheryn Lea Rogers
- Nancy Jean Rogers, PA-C
- Trent D. Rogers, M.D.
- Vickie Renee Rogers, RN
- Harriet Rohla, MSW
- Ronald J. Will, D.D.S., PLLC (Blue Mountain Dental Care)
- Debra Patton Rood, MSW, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.