NPIMap

Organization Active NPI

Rose Physical Therapy PLLC

  • Orthopedic Physical Therapist
  • Williamsville, NY
National Provider Identifier
1306151550
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
010381 Issued in NY
Legal business name
ROSE PHYSICAL THERAPY PLLC
Practice address
60 Lakeside Dr
Williamsville, NY 14221-1748
Phone
(716) 479-8752
Fax
(716) 634-3193
NPI assigned
Aug 12, 2010
Last updated
Apr 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Authorized official

Name
Terrence M. Rose, DPTNPI 1376856526
Title
Owner
Phone
(716) 479-8752

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 010381 NY Primary

Addresses

Primary practice location

60 Lakeside Dr
Williamsville, NY 14221-1748

Mailing address

60 Lakeside Dr
Williamsville, NY 14221-1748
Phone (716) 479-8752

National Provider Directory

National Provider Directory

Locations

6000 Brockton Dr
Ste 107
Lockport, NY 14094
Phone (716) 201-1049

15 S Forest Rd
Williamsville, NY 14221
Phone (716) 204-8734

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1306151550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LAKESIDE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142211748",
            "telephone_number": "716-479-8752",
            "fax_number": "716-634-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 LAKESIDE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142211748",
            "telephone_number": "716-479-8752",
            "fax_number": "716-634-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-479-8752",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "010381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.