Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cedric Michael Rogers, PTA

Individual provider Physical Therapy Assistant · NPI 1073235636

Cedric Michael Rogers, PTA is a Physical Therapy Assistant in Myrtle Beach, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

210 Village Center Blvd
Myrtle Beach, SC 29579-6706
Phone: (843) 353-3460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 4735 (SC)

Record details

NPI number1073235636
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 12, 2022
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022

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