NPIMap

Organization Active NPI

Rosewood Rehabilitation

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1275902140
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1528104882 Issued in LA
Legal business name
ROSEWOOD REHABILITATION
Practice address
626 Verot School Rd Ste E
Lafayette, LA 70508-5094
Phone
(337) 406-0808
NPI assigned
Sep 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Authorized official

Name
Wendell Juneau, PTNPI 1790822195
Title
Co-Owner
Phone
(337) 406-0808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1528104882 LA Primary

Addresses

Primary practice location

626 Verot School Rd Ste E
Lafayette, LA 70508-5094

Mailing address

626 Verot School Rd Ste E
Lafayette, LA 70508-5094
Phone (337) 406-0808

National Provider Directory

National Provider Directory
Tax ID family
Rosewood Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1275902140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 VEROT SCHOOL RD STE E",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085094",
            "telephone_number": "337-406-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 VEROT SCHOOL RD STE E",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085094",
            "telephone_number": "337-406-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWOOD REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "JUNEAU",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "337-406-0808",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "1528104882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.