Provider Demographics
NPI:1043282874
Name:ROGERS, WILLIAM PARKER (MPT, ATC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:PARKER
Last Name:ROGERS
Suffix:
Gender:M
Credentials:MPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5635 STEUBENVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1415
Mailing Address - Country:US
Mailing Address - Phone:412-787-8616
Mailing Address - Fax:412-787-8618
Practice Address - Street 1:5635 STEUBENVILLE PIKE
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1415
Practice Address - Country:US
Practice Address - Phone:412-787-8616
Practice Address - Fax:412-787-8618
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT001379E2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA038128Medicare ID - Type Unspecified