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Jessica A Rogers, PTA

Physical Therapy Assistant in Bogart, GA. Individual provider (NPI-1).

NPI number1679701445
StatusActive
Last updated in NPPESJun 30, 2009

Details

NPI
1679701445
Entity type
Individual (NPI-1)
Name
Jessica A Rogers
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
Jun 30, 2009
Last updated
Jun 30, 2009

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA002387GAYes

Practice location

1551 Jennings Mill Rd Unit 1700a
Bogart, GA 30622-2566

Phone 706-369-9099

Mailing address

1551 Jennings Mill Rd Unit 1700a
Bogart, GA 30622-2566

Phone 706-369-9099

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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