Active NPI
Jonathan Sison Del Rosario, PT
- Physical Therapist
- Croswell, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501007571
- Practice address
- 51 Brown St Ste 5
Croswell, MI 48422-1159 - Phone
- (810) 679-0078
- Fax
- (810) 679-4678
- NPI assigned
- Jan 9, 2007
- Last updated
- Jun 27, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501007571 | MI | Primary |
Addresses
Primary practice location
51 Brown St Ste 5
Croswell, MI 48422-1159
Mailing address
302 N Port Crescent St
Bad Axe, MI 48413-1222
Phone (989) 269-3045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4990 N Van Dyke Rd
Athletic and Manual Therapy
Kinde, MI 48445-9617
Phone (989) 874-4600
51 Brown St
Suite 5
Croswell, MI 48422-1159
Phone (810) 679-0078
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501007571 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Croswell Manual Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Croswell Manual Therapy Inc. | Physical Therapist | Current | Accepting new patients |
Locations
51 Brown St
Ste 5
Croswell, MI 48422
Phone (810) 679-0078
119 State St
Harbor Beach, MI 48441
Phone (989) 479-0621
4990 N Van Dyke Rd
Kinde, MI 48445
Phone (989) 874-4600
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Croswell, MI
- NPI 1528188703
-
dba Athletic & Manual Therapy Services
- Physical Therapist
- Kinde, MI
- NPI 1356525984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214524800000",
"number": "1245389352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 N PORT CRESCENT ST",
"city": "BAD AXE",
"state": "MI",
"postal_code": "484131222",
"telephone_number": "989-269-3045",
"fax_number": "989-269-3045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 BROWN ST STE 5",
"city": "CROSWELL",
"state": "MI",
"postal_code": "484221159",
"telephone_number": "810-679-0078",
"fax_number": "810-679-4678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL ROSARIO",
"first_name": "JONATHAN",
"middle_name": "SISON",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2008-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501007571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Croswell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.