Jedd Louie Diango Rosales, RPT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

053904 Issued in NY

Practice address

5630 Myrtle Ave
Ridgewood, NY 11385-4736

Phone

(718) 400-7500

NPI assigned

Oct 8, 2025

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Beverly Rehabilitation Medical PC

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1437245180

  Physical Therapy

  NPD
• Sunnyvale Physical Therapy PLLC

  • Physical Therapist
  • Forest Hills, NY
  • NPI 1497159008

  Physical Therapy

  NPD

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1205701323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8106 45TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854736",
            "telephone_number": "718-400-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "JEDD LOUIE",
        "middle_name": "DIANGO",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "053904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin Rivera, DDS
• Robin F. Burnett, LCSW, PLLC
• Clara E Rodriguez, OTR/L
• Claritza Rodriguez
• Jasmine Rodriguez
• Valeria Rosario Cruz, MD
• Elba Altagracia Rosario, R.N.
• Rosemarie Limbacher Assoc. Inc.
• Rosemary Psychotherapy LCSW PLLC
• Noelia Elizabeth Rosenthal

• Physical Therapy Clinic/Center in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.