Active NPI
Annmarie Rosina, PT
- Physical Therapist
- Smithtown, NY
National Provider Identifier
1104966472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 017631
- Practice address
- 16 Dartmouth Dr
Smithtown, NY 11787-2007 - Phone
- (631) 375-8530
- Fax
- (631) 780-6689
- NPI assigned
- Feb 7, 2007
- 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 | 017631 | NY | Primary |
Addresses
Primary practice location
16 Dartmouth Dr
Smithtown, NY 11787-2007
Mailing address
16 Dartmouth Dr
Smithtown, NY 11787-2007
Phone (631) 375-8530
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017631 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385683200000",
"number": "1104966472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 DARTMOUTH DR",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872007",
"telephone_number": "631-375-8530",
"fax_number": "631-780-6689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 DARTMOUTH DR",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872007",
"telephone_number": "631-375-8530",
"fax_number": "631-780-6689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSINA",
"first_name": "ANNMARIE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2013-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "017631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.