Individual provider Active NPI

Rosanna Barrera, PT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1154775492
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1180053 Issued in TX
Practice address
7703 N Lamar Blvd Ste 122
Austin, TX 78752-1056
Phone
(512) 407-8766
Fax
(512) 407-8767
NPI assigned
Apr 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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 1180053 TX Primary

Addresses

Primary practice location

7703 N Lamar Blvd Ste 122
Austin, TX 78752-1056

Mailing address

7703 N Lamar Blvd Ste 122
Austin, TX 78752-1056
Phone (512) 407-8766

Other identifiers 1

IdentifierTypeStateIssuer
1180053OtherTXPT LICENSE#

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1154775492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 N LAMAR BLVD STE 122",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521056",
            "telephone_number": "512-407-8766",
            "fax_number": "512-407-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7703 N LAMAR BLVD STE 122",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521056",
            "telephone_number": "512-407-8766",
            "fax_number": "512-407-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRERA",
        "first_name": "ROSANNA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1180053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE#",
            "identifier": "1180053",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.