Individual provider Active NPI

Alexandra Rosenberg, DPT

  • Physical Therapist
  • New Haven, CT
National Provider Identifier
1235522533
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12731 Issued in CT
Practice address
46 Prince St Ste 402B
New Haven, CT 06519-1600
Phone
(203) 752-7878
NPI assigned
Mar 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT024295 PA
Physical Therapist 225100000X 12731 CT Primary

Addresses

Primary practice location

46 Prince St Ste 402B
New Haven, CT 06519-1600

Mailing address

47 N Main St
West Hartford, CT 06107-1926
Phone (860) 409-4595

Other practice location 1

1608 Walnut St
Second Floor
Philadelphia, PA 19103-5457
Phone (215) 545-8717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150413000405 PA Practitioner - Physical Therapist in Private Practice 6800114448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cloudline Physical Therapy LLCGroup PAC ID 6305266222, 28 clinicians

Practice addresses (Care Compare)

1 Belmont Ave
Lbby 105
Bala Cynwyd, PA 19004-1602
Phone (445) 255-0616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Mar 10, 2015 Accepting new patients
Cloudline Physical Therapy LLC Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Sacred Heart University, Inc Physical Therapist PastSince Oct 25, 2020 Accepting new patients

Locations

1 Belmont Ave
Lbby 105
Bala Cynwyd, PA 19004

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

138 S 34th St
Philadelphia, PA 19104
Phone (267) 639-3215

1608 Walnut St
Ste 200
Philadelphia, PA 19103
Phone (215) 545-8717

239 S 10th St
Philadelphia, PA 19107
Phone (445) 223-2653

Organizations & group practices 3

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": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1235522533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 N MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071926",
            "telephone_number": "860-409-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 PRINCE ST STE 402B",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191600",
            "telephone_number": "203-752-7878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 Walnut St",
            "address_2": "Second Floor",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191035457",
            "country_code": "US",
            "telephone_number": "215-545-8717",
            "fax_number": "215-545-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "ALEXANDRA",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT024295",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.