Provider Demographics
NPI:1467518407
Name:ROGERS, ZUZANA (PT, SCD, SCS, COMT)
Entity Type:Individual
Prefix:
First Name:ZUZANA
Middle Name:
Last Name:ROGERS
Suffix:
Gender:F
Credentials:PT, SCD, SCS, COMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11124 OLD SEWARD HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-0001
Mailing Address - Country:US
Mailing Address - Phone:907-929-9009
Mailing Address - Fax:907-312-7143
Practice Address - Street 1:11124 OLD SEWARD HWY STE 200
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-0001
Practice Address - Country:US
Practice Address - Phone:907-929-9009
Practice Address - Fax:907-312-7143
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10544199-2401225100000X
AK15412251S0007X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKPT15411Medicaid
AKPT15411Medicaid