Active NPI
Roseline Andrieux
- Physical Therapy Assistant
- Clermont, FL
National Provider Identifier
1295482867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 28465
- Practice address
- 2761 Citrus Tower Blvd Ste 103
Clermont, FL 34711-7010 - Phone
- (772) 834-0655
- NPI assigned
- Mar 3, 2022
- Sex
- Female
- 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 Therapy Assistant | 225200000X | 28465 | FL | Primary |
Addresses
Primary practice location
2761 Citrus Tower Blvd Ste 103
Clermont, FL 34711-7010
Mailing address
663 Plantation Key Cir Apt 201
Ocoee, FL 34761-4663
Phone (772) 834-0655
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.selectphysicaltherapy.com/contact/find-a-location/fl/clermont/clermont/?ty=xt |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28465 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646265600000",
"number": "1295482867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "663 PLANTATION KEY CIR APT 201",
"city": "OCOEE",
"state": "FL",
"postal_code": "347614663",
"telephone_number": "772-834-0655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2761 CITRUS TOWER BLVD STE 103",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347117010",
"telephone_number": "772-834-0655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRIEUX",
"first_name": "ROSELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-03",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "28465",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.selectphysicaltherapy.com/contact/find-a-location/fl/clermont/clermont/?ty=xt",
"affiliation": "N",
"address_1": "2761 Citrus Tower Blvd Ste 103",
"city": "Clermont",
"state": "FL",
"country_code": "US",
"postal_code": "347117010",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.