Mary Christianne Delos Reyes Dela Rosa, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT027458 Issued in PA

Practice address

550 Pinetown Rd
Fort Washington, PA 19034-2605

Phone

(215) 600-3360

NPI assigned

Feb 10, 2020

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205468980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 OWLSBURY DR",
            "city": "PERKASIE",
            "state": "PA",
            "postal_code": "189444434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PINETOWN RD",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342605",
            "telephone_number": "215-600-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA ROSA",
        "first_name": "MARY CHRISTIANNE",
        "middle_name": "DELOS REYES",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2022-07-21",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "33453625",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.delarosa@revolutionary.cc",
            "affiliation": "N",
            "address_1": "550 Pinetown Rd",
            "city": "Fort Washington",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190342605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Blanca Curiel
• Richard Howard Cutler, DMD
• Jacquelyn D'Amico, PSYD
• Andrea D'Andrea, RPH
• Dawn Debrocco, PSY.D.
• Delaware Valley Healthcare Investment LLC (Sleep Better Live Better)
• Amee Delozier, DMD
• Neal Brian Demp, MD
• Alexandra Depalma
• Kathryn Deragon

• Physical Therapist in Fort Washington, PA
• Providers in Fort Washington, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.