Active NPI
Roselie Isidro Perocillo, PT
- Physical Therapist
- Pinellas Park, FL
National Provider Identifier
1003155680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT7069
- Practice address
- 10707 66TH St N Ste 14
Pinellas Park, FL 33782-2336 - Phone
- (727) 547-8600
- Fax
- (727) 548-6131
- NPI assigned
- Feb 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT7069 | FL | Primary |
Addresses
Primary practice location
10707 66TH St N Ste 14
Pinellas Park, FL 33782-2336
Mailing address
5517 110TH Ave N
Apt. H-107
Pinellas Park, FL 33782-2241
Phone (727) 289-2150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT7069 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1003155680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5517 110TH AVE N",
"address_2": "APT. H-107",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337822241",
"telephone_number": "727-289-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10707 66TH ST N STE 14",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337822336",
"telephone_number": "727-547-8600",
"fax_number": "727-548-6131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEROCILLO",
"first_name": "ROSELIE",
"middle_name": "ISIDRO",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-03",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT7069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinellas Park, FL
- Hector Anibal Pereles, LPC
- Nuribel Perez Linares
- Laura Perez
- Barbara Perlick
- Alexander Perocillo
- Kimberlee Persaud, MD
- Personal Enrichment for Mental Health Services (Pemhs, Inc.)
- Personal Enrichment Through Mental Health Services (Pemhs, Inc.)
- Personal Enrichment Through Mental Health Services (Pemhs, Inc.)
- Personal Enrichment Through Mental Health Services (PEMHS, Inc)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.