Individual provider Active NPI

Jamie Rosenberg

  • Physical Therapist
  • Broomall, PA
National Provider Identifier
1134531015
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT023548 Issued in PA
Practice address
2506 Grant Rd
Broomall, PA 19008-1644
Phone
(484) 368-1589
NPI assigned
May 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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 PT023548 PA Primary

Addresses

Primary practice location

2506 Grant Rd
Broomall, PA 19008-1644

Mailing address

2506 Grant Rd
Broomall, PA 19008-1644
Phone (484) 368-1589

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140714001825 PA Practitioner - Physical Therapist in Private Practice 7911122692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum Physical Therapy Associates, P.C.Group PAC ID 4880799477, 10 clinicians

Practice addresses (Care Compare)

727 S Chester Rd
Swarthmore, PA 19081-2710
Phone (610) 543-4605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT023548PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Physical Therapy Associates, P.C. Physical Therapist CurrentSince Jun 2, 2014 Accepting new patients

Locations

500 Macdade Blvd
Milmont Park, PA 19033
Phone (610) 557-1300

727 S Chester Rd
Swarthmore, PA 19081
Phone (610) 543-4605

719 S Chester Rd
Swarthmore, PA 19081
Phone (610) 543-4605

133 Turner Ln
West Chester, PA 19380
Phone (610) 344-9725

Organizations & group practices 1

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1134531015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 GRANT RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190081644",
            "telephone_number": "484-368-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 GRANT RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190081644",
            "telephone_number": "484-368-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.