Active NPI
Erin Roosa, DPT
- Physical Therapist
- Frederick, MD
National Provider Identifier
1013045178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21394
- Practice address
- 141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702-4502 - Phone
- (301) 620-7478
- NPI assigned
- Mar 1, 2007
- Last updated
- May 16, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 21394 | MD | Primary |
Addresses
Primary practice location
141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702-4502
Mailing address
141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702-4502
Phone (301) 620-7478
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 |
|---|---|---|---|
| 21394 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Sportscare & Rehab LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pivot Physical Therapy of Maryland
- Physical Therapist
- Westminster, MD
- NPI 1518951995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1013045178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 THOMAS JOHNSON DR",
"address_2": "STE 180",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024502",
"telephone_number": "301-620-7478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 THOMAS JOHNSON DR",
"address_2": "STE 180",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024502",
"telephone_number": "301-620-7478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOSA",
"first_name": "ERIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.