Healthcare Provider Details

I. General information

NPI: 1306636295
Provider Name (Legal Business Name): ABIGAIL ROGERS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2751 O'VARSITY WAY ROOM 265
CINCINNATI OH
45221-0001
US

IV. Provider business mailing address

3982 MAPLECOVE LN APT H
CINCINNATI OH
45255-4992
US

V. Phone/Fax

Practice location:
  • Phone: 513-556-3178
  • Fax:
Mailing address:
  • Phone: 513-335-2160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT021676
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: