Active NPI
Marcia Sirotkin Roses, L.P.T
- Physical Therapist
- Fort Lauderdale, FL
National Provider Identifier
1174751937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 24562
- Practice address
- 411 N. New River Dr
Ste 3403
Ft Lauderdale, FL 33301 - Phone
- (646) 263-0595
- Fax
- (954) 764-7211
- NPI assigned
- Jun 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 24562 | FL | Primary |
| Physical Therapist | 225100000X | 522 | NC |
Addresses
Primary practice location
411 N. New River Dr
Ste 3403
Ft Lauderdale, FL 33301
Mailing address
411 N. New River Dr
Ste 3403
Ft Lauderdale, FL 33301
Phone (646) 263-0595
Other names 1
- Marcia Roses Schachter
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 24562 | FL | MD | Physical Therapist |
| 002961 | NY | MD | Audiologist |
| 522 | NC | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251072000000",
"number": "1174751937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 N. NEW RIVER DR",
"address_2": "STE 3403",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "33301",
"telephone_number": "646-263-0595",
"fax_number": "954-764-7211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 N. NEW RIVER DR",
"address_2": "STE 3403",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "33301",
"telephone_number": "646-263-0595",
"fax_number": "954-764-7211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSES",
"first_name": "MARCIA",
"middle_name": "SIROTKIN",
"name_prefix": "Ms.",
"credential": "L.P.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2009-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 24562",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "522",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARCIA",
"last_name": "SCHACHTER",
"middle_name": "ROSES",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.