MEDICARE: SARAH ROGERS DPT

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	12860	TN
2	225100000X	Physical Therapist	05013743A	IN

General Provider Information

NPI Number	:	1659994564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ROGERS DPT

Provider Business Mailing Address
First Line	:	1825 AUGUSTA BLVD
Second Line	:
City	:	HENRYVILLE
State	:	IN
Zip	:	47126-0078
Country	:	US
Telephone Number	:	765-252-7088
Fax Number	:

Provider Business Practice Location Address
First Line	:	2632 GRANT LINE RD
Second Line	:
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-4000
Country	:	US
Telephone Number	:	812-944-9048
Fax Number	:

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

Provider Enumeration Date	:	05/26/2020
Last Update Date	:	06/12/2020

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Directions to “ SARAH ROGERS DPT” Practice Location

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