Active NPI
Chad N Rogers, DPT
- Physical Therapist
- Centralia, WA
National Provider Identifier
1891315818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60522182
- Practice address
- 1809 Cooks Hill Rd
Centralia, WA 98531-9072 - Phone
- (360) 330-8844
- NPI assigned
- Apr 20, 2020
- Sex
- Male
- 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 Therapist | 225100000X | PT60522182 | WA | Primary |
Addresses
Primary practice location
1809 Cooks Hill Rd
Centralia, WA 98531-9072
Mailing address
PO Box 3087
Portland, OR 97208-3087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1445 Galaxy Dr NE
Suite 301
Lacey, WA 98516-4754
Phone (360) 456-1444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penrose & Associates Physical Therapy LLC | Current | Accepting new patients | |
| Providence Health & Services Washington | Physical Therapist | Past | Accepting new patients |
Locations
1445 Galaxy Dr NE
Ste 301
Lacey, WA 98516
Phone (360) 456-1444
1445 Galaxy Dr NE
Lacey, WA 98516
Phone (360) 456-1444
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Lacey, WA
- NPI 1740480110
-
- Rehabilitation Clinic/Center
- Tumwater, WA
- NPI 1801989587
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587340800000",
"number": "1891315818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3087",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 COOKS HILL RD",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985319072",
"telephone_number": "360-330-8844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "CHAD",
"middle_name": "N",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-20",
"last_updated": "2020-04-20",
"certification_date": "2020-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60522182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.