MEDICARE: MR. ROGER W SAENGER RPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT860	AR
2	2251P0200X	Pediatric Physical Therapist	PT860	AR

General Provider Information

NPI Number	:	1275554081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROGER W SAENGER RPT

Provider Business Mailing Address
First Line	:	15 OPPORTUNITY DRIVE
Second Line	:
City	:	SHERIDAN
State	:	AR
Zip	:	72150-9185
Country	:	US
Telephone Number	:	870-942-8335
Fax Number	:	870-942-2234

Provider Business Practice Location Address
First Line	:	15 OPPORTUNITY DRIVE
Second Line	:
City	:	SHERIDAN
State	:	AR
Zip	:	72150-9185
Country	:	US
Telephone Number	:	870-942-8335
Fax Number	:	870-942-2234

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	09/11/2025

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