Individual provider Active NPI

Melisssa D Rosenberg, PT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1013018985
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21781 Issued in FL
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

Updated by the provider on May 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
890194500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190405000686 FL Practitioner - Physical Therapist in Private Practice 3173864840 Reassigns benefits to 1 organization

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
Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians

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

LicenseStateTypeSpecialty
PT21781FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Feb 5, 2019 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Feb 5, 2019 Accepting new patients
Transnota Inc Developmental Therapist PastSince Sep 12, 2021 Accepting new patients
Transnota Inc Developmental Therapist PastSince Apr 17, 2022 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.

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.

Verify at the official NPI Registry.