Brooke Nicole Rosas, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA003710 Issued in GA

Practice address

747 Virginia Ave Ste 200
Hapeville, GA 30354-1915

Phone

(404) 565-2667

NPI assigned

Jan 15, 2024

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

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": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1104697473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PECAN DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303156318",
            "telephone_number": "770-895-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 VIRGINIA AVE STE 200",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303541915",
            "telephone_number": "404-565-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSAS",
        "first_name": "BROOKE",
        "middle_name": "NICOLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradford J Pizza, D.C.
• Paul Purvis, D.C.
• Allene Lynn Ranew, PH.D., LCSW
• Kye Richardson
• Terry Robinson, PA
• Eric Ross, DPT
• Salvazon LLC
• Elvia Linnette Santiago, FNP
• Basel Sheikh Alshabab, MD
• Alysa Jordan Smith, DC

• Physical Therapy Assistant in Hapeville, GA
• Providers in Hapeville, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.