Healthcare Provider Details

I. General information

NPI: 1588947659
Provider Name (Legal Business Name): FRANCES ROGERS CPTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2011
Last Update Date: 09/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 WASHINGTON AVE
PLAINVIEW NY
11803-1830
US

IV. Provider business mailing address

900 THOMAS AVE
BALDWIN NY
11510-4139
US

V. Phone/Fax

Practice location:
  • Phone: 516-367-2740
  • Fax:
Mailing address:
  • Phone: 516-378-8058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number000505
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: