Individual provider Active NPI

Jessica Self Rosner, PT

  • Physical Therapist
  • Calera, AL
National Provider Identifier
1124158332
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH4956 Issued in AL
Practice address
101 Carrington LN Ste C
Calera, AL 35040-5439
Phone
(205) 621-3077
Fax
(205) 621-3788
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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 PTH4956 AL Primary

Addresses

Primary practice location

101 Carrington LN Ste C
Calera, AL 35040-5439

Mailing address

101 Carrington LN Ste C
Calera, AL 35040-5439
Phone (205) 621-3077

Other identifiers 1

IdentifierTypeStateIssuer
51545232OtherALBCBS AL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070511000580 AL Practitioner - Physical Therapist in Private Practice 8921105735 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH4956ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby County Physical Therapy , PC Physical Therapist CurrentSince Jan 13, 2023 Accepting new patients
Shelby County Physical Therapy P.C. Physical Therapist CurrentSince Jan 13, 2023 Accepting new patients
Therapy South and Sports Medicine Physical Therapist PastSince Oct 19, 2009 Accepting new patients
Therapy South-Bessemer, LLC Physical Therapist PastSince Jan 26, 2012 Accepting new patients
Therapy South Pelham, LLC Physical Therapist PastSince Jun 1, 2012 Accepting new patients
Impact Rehabilitation and Sports Medicine, Inc. Past Accepting new patients

Locations

101 Carrington Ln
Calera, AL 35040
Phone (205) 746-7339

101 Carrington Ln
#C
Calera, AL 35040
Phone (205) 621-3077

Organizations & group practices 6

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shelby County Physical Therapy, P.C. 3 clinicians

Practice addresses (Care Compare)

101 Carrington LN
Calera, AL 35040-5439
Phone (205) 746-7339

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1124158332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CARRINGTON LN STE C",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350405439",
            "telephone_number": "205-621-3077",
            "fax_number": "205-621-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CARRINGTON LN STE C",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350405439",
            "telephone_number": "205-621-3077",
            "fax_number": "205-621-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSNER",
        "first_name": "JESSICA",
        "middle_name": "SELF",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "51545232",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calera, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.