Provider Demographics
NPI:1578657227
Name:ROGASNER THERAPY, INC.
Entity Type:Organization
Organization Name:ROGASNER THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:LESTER
Authorized Official - Last Name:ROGASNER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:813-714-3532
Mailing Address - Street 1:307 WEST FLORA STREET
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-5416
Mailing Address - Country:US
Mailing Address - Phone:813-714-3532
Mailing Address - Fax:
Practice Address - Street 1:307 WEST FLORA STREET
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-5416
Practice Address - Country:US
Practice Address - Phone:813-714-3532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9143225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK5657Medicare PIN