Individual provider Active NPI

Robert Rosenberg, D.C.

  • Chiropractor
  • Longwood, FL
National Provider Identifier
1174511596
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6255 Issued in FL
Practice address
250 S Ronald Reagan Blvd
Suite 104
Longwood, FL 32750-5466
Phone
(407) 767-6466
Fax
(407) 767-2437
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6255 FL Primary

Addresses

Primary practice location

250 S Ronald Reagan Blvd
Suite 104
Longwood, FL 32750-5466

Mailing address

250 S Ronald Reagan Blvd
Suite 104
Longwood, FL 32750-5466
Phone (407) 767-6466

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050818000703 FL Practitioner - Chiropractic 5092745778 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH6255FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Abati LLC. CurrentSince Apr 28, 2024 Accepting new patients
Physical Therapy Now Holdings, LLC Past Accepting new patients

Organizations & group practices 2

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174511596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S RONALD REAGAN BLVD",
            "address_2": "SUITE 104",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505466",
            "telephone_number": "407-767-6466",
            "fax_number": "407-767-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S RONALD REAGAN BLVD",
            "address_2": "SUITE 104",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505466",
            "telephone_number": "407-767-6466",
            "fax_number": "407-767-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.