Kristyn Mae Rogers

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2147150 Issued in TX

Practice address

1330 E 8TH St
Odessa, TX 79761-4702

Phone

(432) 550-1721

NPI assigned

Mar 18, 2021

Last updated

Mar 18, 2021By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1932785243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 E 8TH ST STE 206",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614731",
            "telephone_number": "432-550-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 E 8TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614702",
            "telephone_number": "432-550-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KRISTYN",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2147150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Rodriguez, LMT
• Ty Dan Rodriguez, LVN
• Vanessa Claudette Rodriguez, M.D.
• Elizabeth Rodriquez
• Roger Clark Hearing Centers
• Iliana Rojas
• Alona Pabellano Roldan, FNP
• Bobbie Jo Roman-Mansanales, MS., CCC-SLP
• Araceli Romero, FNP
• Anissa Romo, PA-C

• Physical Therapy Assistant in Odessa, TX
• Providers in Odessa, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.