Individual provider Active NPI

Ashley Nicole Roger, DPT

  • Physical Therapist
  • Scott, LA
National Provider Identifier
1972161487
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10270 Issued in LA
Practice address
113 Lions Club Rd
Scott, LA 70583-5289
Phone
(337) 769-1556
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10270 LA Primary

Addresses

Primary practice location

113 Lions Club Rd
Scott, LA 70583-5289

Mailing address

113 Lions Club Rd
Scott, LA 70583-5289
Phone (337) 769-1556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190718000544 LA Practitioner - Physical Therapist in Private Practice 2567797194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mentel Wellness LLCGroup PAC ID 5991925497, 3 clinicians

Practice addresses (Care Compare)

113 Lions Club Rd
Scott, LA 70583-5289
Phone (337) 769-1556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10270LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mentel Wellness, LLC Physical Therapist CurrentSince Jun 3, 2019 Accepting new patients

Locations

113 Lions Club Rd
Scott, LA 70583
Phone (337) 769-1556

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1972161487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 LIONS CLUB RD",
            "city": "SCOTT",
            "state": "LA",
            "postal_code": "705835289",
            "telephone_number": "337-769-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LIONS CLUB RD",
            "city": "SCOTT",
            "state": "LA",
            "postal_code": "705835289",
            "telephone_number": "337-769-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGER",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.

Verify at the official NPI Registry.