Mary J Rogerson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 1632 Issued in AR

Practice address

5501 Willow Creek Dr
Suite 200
Springdale, AR 72762-8704

Phone

(479) 442-4553

Fax

(479) 251-1006

NPI assigned

Aug 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Orthopedic Rehabilitation Centers LLC

  • Physical Therapist
  • Little Rock, AR
  • NPI 1780692491
  Medicare reassignment NPD
• Integrative Imaging, LLC

  • Diagnostic Radiology Physician
  • Springdale, AR
  • NPI 1508093477
  NPD (past)
• Ssmri LLC

  • Diagnostic Radiology Physician
  • Springdale, AR
  • NPI 1275606253
  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1902098320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 WILLOW CREEK DR",
            "address_2": "SUITE 200",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 WILLOW CREEK DR",
            "address_2": "SUITE 200",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628704",
            "telephone_number": "479-442-4553",
            "fax_number": "479-251-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERSON",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 1632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael L Rodriguez, DDS
• Santa Mayte Rodriguez, PTA
• Abrah Rogers
• Hollis T Rogers III, M.D.
• Kathryn (Beth) Rogers, LAC
• Tammy Dawn Rogerson, MHPP
• Kayla S Rogover, BCBA
• Lyndsay Roper
• Roxanna Rosa
• Lauren Rose, COTA/L

• Physical Therapist in Springdale, AR
• Providers in Springdale, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.