Active NPI
Kristen Rogers
- Physical Therapy Assistant
- Chandler, AZ
National Provider Identifier
1881049575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 11125A
- Practice address
- 2121 W Elgin St
Chandler, AZ 85224-5608 - Phone
- (480) 899-6717
- NPI assigned
- Apr 30, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 11125A | AZ | Primary |
Addresses
Primary practice location
2121 W Elgin St
Chandler, AZ 85224-5608
Mailing address
4751 S Carmine Cir
Mesa, AZ 85212-5141
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 |
|---|---|---|---|
| 11125A | AZ | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461974400000",
"number": "1881049575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4751 S CARMINE CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852125141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 W ELGIN ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245608",
"telephone_number": "480-899-6717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-30",
"last_updated": "2016-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AZ",
"license": "11125A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.