Active NPI
Kirsten Rose, M.S
- Physical Therapist
- Santa Cruz, CA
National Provider Identifier
1104136654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18813
- Practice address
- 317 Potrero St
Ste C
Santa Cruz, CA 95060-7610 - Phone
- (831) 425-9500
- NPI assigned
- Oct 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 18813 | CA | Primary |
Addresses
Primary practice location
317 Potrero St
Ste C
Santa Cruz, CA 95060-7610
Mailing address
317 Potrero St
Ste C
Santa Cruz, CA 95060-7610
Phone (831) 425-9500
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18813 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medxcare Health Professionals | Physical Therapist | Past | Accepting new patients |
| Santa Cruz Core Fitness and Rehab | Past | Accepting new patients |
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.
-
- Physical Medicine & Rehabilitation Physician
- Santa Cruz, CA
- NPI 1982177150
Physical Therapist
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Santa Cruz, CA
- NPI 1942585153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287360000000",
"number": "1104136654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 POTRERO ST",
"address_2": "STE C",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950607610",
"telephone_number": "831-425-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 POTRERO ST",
"address_2": "STE C",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950607610",
"telephone_number": "831-425-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "KIRSTEN",
"credential": "M.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-18",
"last_updated": "2010-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "18813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.