Blake Michael Rossi

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

162 S Main St
Bishop, CA 93514-3415

Phone

(760) 872-2942

NPI assigned

Oct 25, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Mono Health Care DistrictGroup PAC ID 9830002401, 94 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mahobrossi@mammothhospital.cernerdirect.com

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.

• Southern Mono Health Care District

  • Critical Access Hospital Clinic/Center
  • Mammoth Lakes, CA
  • NPI 1962444059
  Medicare reassignment Care Compare group NPD
• Southern Mono Health Care District

  • Rural Acute Care Hospital
  • Bridgeport, CA
  • NPI 1821149816
  NPD
• Southern Mono Healthcare District

  • Rehabilitation Clinic/Center
  • Bishop, CA
  • NPI 1518460070
  NPD (past)
• Elevate Physical Rehabilitation Group PLLC

  • Physical Therapist
  • Woodinville, WA
  • NPI 1144735721
  NPD (past)
• Premier Physical Rehabilitation LLC

  • Physical Therapist
  • Woodinville, WA
  • NPI 1437349198
  NPD (past)

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1265718035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 S MAIN ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143415",
            "telephone_number": "760-872-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 S MAIN ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143415",
            "telephone_number": "760-872-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "BLAKE",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-25",
        "last_updated": "2021-02-10",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mahobrossi@mammothhospital.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Mammoth Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "162 S Main St",
            "city": "Bishop",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935143415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark K. Robinson, M.D.
• Susan Jeanne Robinson, M.D.
• Tina Marie Rodriguez, RN
• Sarah Rogers
• Brock Romero
• Erica Ann Rotondo, D.O.
• Samantha Rottner
• Round Valley Joint Elementary School District
• Robert Nathan Rubio, RBT
• Stephanie Marie Rubio, RBT

• Physical Therapist in Bishop, CA
• Providers in Bishop, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.