Healthcare Provider Details

I. General information

NPI: 1396983953
Provider Name (Legal Business Name): MARGARET ANNE ROGERS P. T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2009
Last Update Date: 02/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1086 EAST MAIN ST.
SHRUB OAK NY
10588
US

IV. Provider business mailing address

65 ANN RD
CARMEL NY
10512-4056
US

V. Phone/Fax

Practice location:
  • Phone: 914-282-9204
  • Fax: 914-245-4391
Mailing address:
  • Phone: 845-628-1545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number007956-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number007956-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: