Active NPI
Sorelis Rosa, DPT
- Physical Therapist
- Hawthorne, NY
National Provider Identifier
1053666784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 035090-1
- Practice address
- 24 Saw Mill River Rd
Suite 204
Hawthorne, NY 10532-1541 - Phone
- (914) 631-6969
- Fax
- (914) 631-0943
- NPI assigned
- Jul 18, 2012
- 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 | 035090-1 | NY | Primary |
Addresses
Primary practice location
24 Saw Mill River Rd
Suite 204
Hawthorne, NY 10532-1541
Mailing address
24 Saw Mill River Rd
Suite 204
Hawthorne, NY 10532-1541
Phone (914) 631-6969
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 |
|---|---|---|---|
| 035090-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1053666784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 SAW MILL RIVER RD",
"address_2": "SUITE 204",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105321541",
"telephone_number": "914-631-6969",
"fax_number": "914-631-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 SAW MILL RIVER RD",
"address_2": "SUITE 204",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105321541",
"telephone_number": "914-631-6969",
"fax_number": "914-631-0943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSA",
"first_name": "SORELIS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-18",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "035090-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.