Active NPI
Roseann Michelle Basarich, DPT
- Physical Therapist
- La Follette, TN
National Provider Identifier
1245499581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT0000007860
- Practice address
- 923 E Central Ave
La Follette, TN 37766-2768 - Phone
- (423) 907-1543
- Fax
- (423) 901-1173
- NPI assigned
- Jun 2, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| PT0000007860 | TN | MD | Physical Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT0000007860 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
923 E Central Ave
La Follette, TN 37766-2768
Mailing address
126 N 2ND St
Sterling, CO 80751-4332
Phone (970) 425-7272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2018.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1245499581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 N 2ND ST",
"city": "STERLING",
"state": "CO",
"postal_code": "807514332",
"telephone_number": "970-425-7272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 E CENTRAL AVE",
"city": "LA FOLLETTE",
"state": "TN",
"postal_code": "377662768",
"telephone_number": "423-907-1543",
"fax_number": "423-901-1173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASARICH",
"first_name": "ROSEANN",
"middle_name": "MICHELLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT0000007860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Follette, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.