Provider Demographics
NPI:1396983953
Name:ROGERS, MARGARET ANNE (P T)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANNE
Last Name:ROGERS
Suffix:
Gender:F
Credentials:P T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 ANN RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-4056
Mailing Address - Country:US
Mailing Address - Phone:845-628-1545
Mailing Address - Fax:
Practice Address - Street 1:1086 EAST MAIN ST.
Practice Address - Street 2:
Practice Address - City:SHRUB OAK
Practice Address - State:NY
Practice Address - Zip Code:10588
Practice Address - Country:US
Practice Address - Phone:914-282-9204
Practice Address - Fax:914-245-4391
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007956-1225100000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics