Active NPI
Melisssa D Rosenberg, PT
- Physical Therapist
- Tampa, FL
National Provider Identifier
1013018985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT21781
- Practice address
- 13200 McCormick Dr # E-200
Tampa, FL 33626-3010 - Phone
- (813) 814-5971
- Fax
- (813) 814-5972
- NPI assigned
- Sep 25, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Physical Therapist | 225100000X | PT21781 | FL | Primary |
Addresses
Primary practice location
13200 McCormick Dr # E-200
Tampa, FL 33626-3010
Mailing address
6720 Frontier LN
Tampa, FL 33625-1621
Phone (813) 475-5784
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890194500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13810 Sheldon Rd
Tampa, FL 33626-3619
Phone (813) 820-5908
8355 Old Hixon Rd
Tampa, FL 33626-2304
Phone (813) 820-5909
9731 Commerce Ctr CT
Fort Myers, FL 33908-1400
Phone (864) 244-3626
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT21781 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Transnota Inc | Developmental Therapist | Past | Accepting new patients |
| Transnota Inc | Developmental Therapist | Past | Accepting new patients |
Locations
536 Old Howell Rd
Greenville, SC 29615
Phone (877) 508-3237
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Coral Gables, FL
- NPI 1871972653
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
-
- Developmental Therapist
- Tampa, FL
- NPI 1619617040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1013018985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6720 FRONTIER LN",
"city": "TAMPA",
"state": "FL",
"postal_code": "336251621",
"telephone_number": "813-475-5784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13200 MCCORMICK DR # E-200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336263010",
"telephone_number": "813-814-5971",
"fax_number": "813-814-5972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "MELISSSA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT21781",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890194500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.