MR. CORY D ROGOTZKE (DPT) – Physical Therapist, NPI 1154768463

MR. CORY D ROGOTZKE (DPT) is a healthcare provider. based in Jackson, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 5501016325 (MI). The NPI Number for MR. CORY D ROGOTZKE (DPT) is 1154768463

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MR. CORY D ROGOTZKE (DPT)
NPI
1154768463
Phone
(517) 783-6670
Address
206 PAGE AVE
Enumeration Date
28 May 2013
Last Update Date
10 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5177502540
Graduation Year
2013 (13 years ago)
PAC ID
9638303159
Group Practice PAC ID
9133136864
Professional Enrollment ID
I20131015002141
Address ID
MI492033558JA2136XRDXX325
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for MR. CORY D ROGOTZKE (DPT)

  • 206 PAGE AVE

    JACKSON, MI 492012418

    Phone: (517) 783-6670

    Fax: (517) 783-5310

    Type: Mailing

  • 2136 ROBINSON RD

    SUITE 1

    JACKSON, MI 492033557

    Phone: (517) 750-2540

    Fax: (517) 750-2044

    Type: Location

  • 2136 ROBINSON RD STE 1

    JACKSON, MI 492033558

    Phone: (517) 750-2540

    Fax: (517) 990-6212

    Type: Location

  • 3073 SHIRLEY DR

    JACKSON, MI 492017010

    Phone: (517) 990-6211

    Fax: (517) 990-6212

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131015002141IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,711190$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,021176$0
97140Therapy procedure using manual technique, each 15 minutes837145$0
97530Therapy procedure using functional activities623116$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care43389$0
View full utilization report →

Insurance plans in this area (ZIP 49201)

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Provider's Procedures

MR. CORY D ROGOTZKE (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMI97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3081244
PHYSICAL THERAPYMI97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes1373196

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133136864View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What unique ID ties claims to MR. CORY D ROGOTZKE (DPT)?
NPI 1154768463 is assigned to MR. CORY D ROGOTZKE (DPT) under the national enumeration system.
Is MR. CORY D ROGOTZKE (DPT) active in the national directory?
MR. CORY D ROGOTZKE (DPT)'s public NPI profile is in an active state.
What kind of provider is MR. CORY D ROGOTZKE (DPT)?
The page reflects Physical Therapist for MR. CORY D ROGOTZKE (DPT). Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. CORY D ROGOTZKE (DPT)?
The page summarizes Jackson, Michigan for MR. CORY D ROGOTZKE (DPT); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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