Individual provider Active NPI

Anna Rosbrook, MSPT

  • Pediatric Physical Therapist
  • Oswego, NY
National Provider Identifier
1164668117
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
024862 Issued in NY
Practice address
10 Burkle St
Little Lukes
Oswego, NY 13126-3259
Phone
(315) 342-4600
NPI assigned
Dec 22, 2008
Last updated
Dec 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 024862 NY Primary

Addresses

Primary practice location

10 Burkle St
Little Lukes
Oswego, NY 13126-3259

Mailing address

10 Burkle St
Little Lukes
Oswego, NY 13126-3259
Phone (315) 342-4600

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

Practice roles

OrganizationSpecialtyStatusNew patients
315 Therapy for PT, OT and SLP, PLLC Pediatrics Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1164668117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BURKLE ST",
            "address_2": "LITTLE LUKES",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263259",
            "telephone_number": "315-342-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BURKLE ST",
            "address_2": "LITTLE LUKES",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263259",
            "telephone_number": "315-342-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSBROOK",
        "first_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-22",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "024862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.