MEDICARE: ALLISYN DANIELLE ROGLIN PTA

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	225200000X	Physical Therapy Assistant	2158781	TX

General Provider Information

NPI Number	:	1720800592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISYN DANIELLE ROGLIN PTA

Provider Business Mailing Address
First Line	:	10133 CHAPEL OAK TRL
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-1234
Country	:	US
Telephone Number	:	817-907-9718
Fax Number	:

Provider Business Practice Location Address
First Line	:	3141 DALHART DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76179-2663
Country	:	US
Telephone Number	:	851-481-7918
Fax Number	:

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

Provider Enumeration Date	:	10/31/2024
Last Update Date	:	10/31/2024

Similar Medicare Providers

1720710379 — SHANNON MARIE MULHOLLAN MOT/OTR
Practice Location Address:

3141 DALHART DR
FORT WORTH, TX
76179-2663

Practice Phone: 817-236-6116
Practice Fax:

1487376281 — MELONY MEEKS
Practice Location Address:

3141 DALHART DR
FORT WORTH, TX
76179-2663

Practice Phone: 817-236-6116
Practice Fax:

1063920882 — GAYLEANN KING
Practice Location Address:

2901 AVENUE D
FORT PIERCE, FL
34947-2663

Practice Phone: 772-626-4456
Practice Fax:

1932729613 — ESSENTIAL HAND IN HAND LLC
Practice Location Address:

2901 AVENUE D , APARMENT D
FORT PIERCE, FL
34947-2663

Practice Phone: 772-626-4456
Practice Fax:

1245987510 — MARIA DAWN HENSON CSW
Practice Location Address:

2220 MAPLE HILL DR
FORT COLLINS, CO
80524-2663

Practice Phone: 310-753-7979
Practice Fax:

1598479164 — JUDY HENRY
Practice Location Address:

3830 TENNESSEE AVE
FORT LAUDERDALE, FL
33312-2663

Practice Phone: 770-212-1719
Practice Fax:

Directions to “ ALLISYN DANIELLE ROGLIN PTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.