Individual provider Active NPI

Rosemary Wrona, PT

  • Physical Therapist
  • Wilbraham, MA
National Provider Identifier
1306117783
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19436 Issued in MA
Practice address
2 Lodge LN
Wilbraham, MA 01095
Phone
(413) 596-5362
Fax
(413) 596-5367
NPI assigned
Jan 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 005386 CT
Physical Therapist 225100000X 19436 MA Primary

Addresses

Primary practice location

2 Lodge LN
Wilbraham, MA 01095

Mailing address

2 Lodge LN
Wilbraham, MA 01095-1629
Phone (413) 596-5362

Other practice location 1

241 Russell St
Hadley, MA 01035-9558
Phone (413) 586-5552

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

LicenseStateTypeSpecialty
005386CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Health Partners, P.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1306117783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LODGE LN",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951629",
            "telephone_number": "413-596-5362",
            "fax_number": "413-596-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LODGE LN",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "01095",
            "telephone_number": "413-596-5362",
            "fax_number": "413-596-5367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 Russell St",
            "address_purpose": "LOCATION",
            "city": "Hadley",
            "state": "MA",
            "postal_code": "010359558",
            "country_code": "US",
            "telephone_number": "413-586-5552",
            "fax_number": "413-586-3330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRONA",
        "first_name": "ROSEMARY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-18",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "005386",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilbraham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.