Individual provider Active NPI

Rose Cardentey, DPT

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1053787275
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT30577 Issued in FL
Practice address
14291 SW 120TH St Ste 103
Miami, FL 33186-7287
Phone
(305) 385-0168
Fax
(305) 385-0182
NPI assigned
Aug 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT30577 FL Primary

Addresses

Primary practice location

14291 SW 120TH St Ste 103
Miami, FL 33186-7287

Mailing address

14291 SW 120TH St Ste 103
Miami, FL 33186-7287
Phone (305) 385-0168

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160404001670 FL Practitioner - Physical Therapist in Private Practice 9234436346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kreative Kids Therapy Center Co Physical Therapist CurrentSince Apr 22, 2019 Accepting new patients
Resilience Physical Therapy Inc Physical Therapist Current Accepting new patients

Locations

8491 NW 17th St
Ste 110
Doral, FL 33126
Phone (305) 456-5542

Organizations & group practices 2

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": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1053787275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14291 SW 120TH ST STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867287",
            "telephone_number": "305-385-0168",
            "fax_number": "305-385-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14291 SW 120TH ST STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867287",
            "telephone_number": "305-385-0168",
            "fax_number": "305-385-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENTEY",
        "first_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT30577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.