Individual provider Active NPI

Rachel Whiteley Rosenberger

  • Physical Therapist
  • Odenton, MD
National Provider Identifier
1285102558
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27264 Issued in MD
Practice address
1110 Town Center Blvd Ste I
Odenton, MD 21113-1232
Phone
(410) 672-8091
NPI assigned
Nov 5, 2018
Last updated
Jan 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27264 MD Primary

Addresses

Primary practice location

1110 Town Center Blvd Ste I
Odenton, MD 21113-1232

Mailing address

8736 Little Patuxent CT
Odenton, MD 21113-2797

Other practice location 1

5950 Deale Churchton Rd
Deale, MD 20751-9730
Phone (410) 867-1517

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181130001747 MD Practitioner - Physical Therapist in Private Practice 9830433986 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Care Physical Therapy CurrentSince Nov 7, 2018 Accepting new patients
Physiotherapy Associates, Inc. Physical Therapist PastSince Jan 8, 2023 Accepting new patients
Physiotherapy Associates Inc PastSince Jan 8, 2023 Accepting new patients

Locations

5950 Deale Churchton Rd
Deale, MD 20751
Phone (410) 867-1517

5950 Deale Churchton Rd
Unit C
Deale, MD 20751
Phone (410) 867-1517

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1285102558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8736 LITTLE PATUXENT CT",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 TOWN CENTER BLVD STE I",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131232",
            "telephone_number": "410-672-8091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5950 Deale Churchton Rd",
            "address_purpose": "LOCATION",
            "city": "Deale",
            "state": "MD",
            "postal_code": "207519730",
            "country_code": "US",
            "telephone_number": "410-867-1517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERGER",
        "first_name": "RACHEL",
        "middle_name": "WHITELEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.