Gea Gabrielle Serafica Rosales, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT299012 Issued in CA

Practice address

2013 Elkins Way Ste C
Brentwood, CA 94513-7380

Phone

(925) 513-2252

Fax

(925) 513-2253

NPI assigned

Feb 14, 2020

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Balance Physical Therapy, Inc.

  • Physical Therapist
  • Brentwood, CA
  • NPI 1902185325

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1154954402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 ELKINS WAY STE C",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945137380",
            "telephone_number": "925-513-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 ELKINS WAY STE C",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945137380",
            "telephone_number": "925-513-2252",
            "fax_number": "925-513-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "GEA GABRIELLE",
        "middle_name": "SERAFICA",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT299012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Romero
• Annalisa Marie Ronning
• Rontal & Wedeking DDS Inc
• Tane Tanzo Rontal, DDS
• Ria Anne Sugijanto Root, DPT
• Paige Rosano, MS, CCC-SLP
• Elena Lucille Rosas
• Steven J Roscoe
• Laniesha Juanita Marianna Rose
• Frederick S Rosen, MD

• Physical Therapist in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.