Active NPI
Thomas G Rogers, CCC-SLP
- Speech-Language Pathologist
- Woodstock, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146012752
- Practice address
- 2406 Hartland Rd
Woodstock, IL 60098-9763 - Phone
- (815) 338-0312
- NPI assigned
- Jul 29, 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146012752 | IL | Primary |
Addresses
Primary practice location
2406 Hartland Rd
Woodstock, IL 60098-9763
Mailing address
5363 N Latrobe Ave
Chicago, IL 60630-2205
Phone (217) 637-0670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
965 N Brighton Cir
Crystal Lake, IL 60012-2036
Phone (815) 249-4280
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146012752 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Illinois, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current | Accepting new patients | |
| Empowerme Wellness Kansas City, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1021 W E St
Belleville, IL 62220
Phone (618) 233-2095
7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
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.
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
Speech-Language Pathologist
-
- Occupational Therapist
- Edwardsville, IL
- NPI 1679098263
Speech-Language Pathologist
-
- Multi-Specialty Clinic/Center
- Belleville, IL
- NPI 1174118103
Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Mount Carmel, IL
- NPI 1962073734
Speech-Language Pathologist
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Liberty, MO
- NPI 1174299044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1952910598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5363 N LATROBE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606302205",
"telephone_number": "217-637-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2406 HARTLAND RD",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600989763",
"telephone_number": "815-338-0312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "THOMAS",
"middle_name": "G",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-29",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146012752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, IL
- Soutsada T Rivera I, DPT
- Robert E. Haraden DDS, P.C. (Family Dentistry OF Woodstock)
- Elizabeth Caswell Rodgers, PHARM.D.
- Guadalupe Rodriguez
- Mary Josephine Roeber, PT
- Roman J. Dykun, MD (Affiliated Ear, Nose and Throat Physicians)
- Joseph Ronda, LCSW
- Bibiano Ronquillo, MD
- Angela Root, M.S., CCC-SLP
- Natalie Kaye Roper, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.