Jacqueline Kaye Rosenthal, MPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

2009024428 Issued in MO

Practice address

3488 Jeffco Blvd
Suite 102
Arnold, MO 63010-6015

Phone

(636) 464-5439

NPI assigned

Sep 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jackie Selsor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346544000000",
    "number": "1033468301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WINTER RIVER CT",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630268009",
            "telephone_number": "314-974-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3488 JEFFCO BLVD",
            "address_2": "SUITE 102",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106015",
            "telephone_number": "636-464-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "JACQUELINE",
        "middle_name": "KAYE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-02",
        "last_updated": "2012-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MO",
            "license": "2009024428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "SELSOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Rodden
• Yamiles Enid Rodriguez-Correa, PHD
• Ben Roig
• Susan Marissa Roman, COTA
• Amanda Roop
• Ilana Shaina Rosman, MD
• Shannon Ross, M.S., CCC-SLP
• Christine Rothrock, LPC
• Diana M Roukoz, D.O.
• Rebecca Rudolph

• Pediatric Physical Therapist in Arnold, MO
• Providers in Arnold, MO by specialty
• Pediatric Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.