Active NPI
Ashley Nicole Roger, DPT
- Physical Therapist
- Scott, LA
National Provider Identifier
1972161487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10270
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10270 | LA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mentel Wellness, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Scott, LA
- NPI 1124448840
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.