Active NPI
Jordan Rosenberger
- Physical Therapist
- Nags Head, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P19848
- Practice address
- 430 W Health Center Dr
Nags Head, NC 27959-8943 - Phone
- (440) 669-6040
- NPI assigned
- Jan 13, 2015
- 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 | P19848 | NC | Primary |
Addresses
Primary practice location
430 W Health Center Dr
Nags Head, NC 27959-8943
Mailing address
142 Roanoke Dr
Kill Devil Hills, NC 27948-9196
Phone (440) 669-6040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5585 N Croatan Hwy
Kitty Hawk, NC 27949-3996
Phone (252) 261-1556
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P19848 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Rehabilitation Inc | Physical Therapist | Current | Accepting new patients |
| Coastal Rehabilitation Inc | Physical Therapist | Current | Accepting new patients |
| Broad River Rehabilitation | Physical Therapist | Current | Accepting new patients |
| Coastal Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
Locations
101 Medical Dr
Elizabeth Cty, NC 27909
Phone (252) 338-2114
803 Bermuda Bay Blvd
Kill Devil Hills, NC 27948
Phone (252) 449-4455
5585 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 261-1556
503 Cypress Ln
#A
Manteo, NC 27954
Phone (252) 338-2114
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
- Elizabeth City, NC
- NPI 1457418311
-
- Physical Therapist
- Kitty Hawk, NC
- NPI 1871610907
-
- Physical Therapist
- Manteo, NC
- NPI 1346466430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1023407129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 ROANOKE DR",
"city": "KILL DEVIL HILLS",
"state": "NC",
"postal_code": "279489196",
"telephone_number": "440-669-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 W HEALTH CENTER DR",
"city": "NAGS HEAD",
"state": "NC",
"postal_code": "279598943",
"telephone_number": "440-669-6040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERGER",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-13",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P19848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nags Head, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.