Individual provider Active NPI

Lianne Ka'Uilani Rogers, PT, DPT

  • Orthopedic Physical Therapist
  • Mesa, AZ
National Provider Identifier
1871774588
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
7904 Issued in AZ
Practice address
2217 W Keating Ave
Mesa, AZ 85202-7321
Phone
(480) 216-0019
NPI assigned
Nov 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 7904 AZ Primary

Addresses

Primary practice location

2217 W Keating Ave
Mesa, AZ 85202-7321

Mailing address

2217 W Keating Ave
Mesa, AZ 85202-7321
Phone (480) 216-0019

Other practice location 1

1972 E Baseline Rd Ste 103
Tempe, AZ 85283-1532
Phone (480) 730-0501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110107000222 AZ Practitioner - Physical Therapist in Private Practice 7810186707 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7904AZMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lianne Rogers, LLC Physical Therapist CurrentSince Apr 6, 2020 Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Feb 1, 2019 Accepting new patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Jul 14, 2020 Accepting new patients
Independent by Design, PLLC CurrentSince Jun 19, 2021 Accepting new patients
360 Physical Therapy LLC Past Accepting new patients
360 Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

9327 N 3rd St
Ste 300
Phoenix, AZ 85020
Phone (602) 631-3166

3033 N 44th St
Ste 100
Phoenix, AZ 85018
Phone (602) 631-3161

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1871774588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 W KEATING AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027321",
            "telephone_number": "480-216-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 W KEATING AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027321",
            "telephone_number": "480-216-0019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1972 E Baseline Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852831532",
            "country_code": "US",
            "telephone_number": "480-730-0501",
            "fax_number": "480-423-8458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "LIANNE",
        "middle_name": "KA'UILANI",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-21",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "7904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.