Individual provider Active NPI

Jessica Lu Rosenau, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1346139755
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
308285 Issued in CA
Practice address
11515 El Camino Real Ste 130
San Diego, CA 92130-3034
Phone
(858) 793-1460
NPI assigned
Jul 1, 2025
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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 308285 CA Primary

Addresses

Primary practice location

11515 El Camino Real Ste 130
San Diego, CA 92130-3034

Mailing address

10675 Calle Mar de Mariposa Apt 1201
San Diego, CA 92130-8735
Phone (609) 350-9530

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250903003983 CA Practitioner - Physical Therapist in Private Practice 2567964240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11515 El Camino Real
Suite 130
San Diego, CA 92130-3034
Phone (858) 793-1460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
308285CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select San Diego Physical Therapy, PC. CurrentSince Jul 7, 2025 Accepting new patients
Select San Diego Physical Therapy, PC. Current Accepting new patients
Select San Diego Physical Therapy, PC. Physical Therapist CurrentSince Jul 7, 2025 Accepting new patients

Locations

11515 El Camino Real
Ste 130
San Diego, CA 92130
Phone (858) 793-1460

3737 Moraga Ave
Ste B117
San Diego, CA 92117
Phone (858) 270-0981

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": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1346139755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10675 CALLE MAR DE MARIPOSA APT 1201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921308735",
            "telephone_number": "609-350-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 EL CAMINO REAL STE 130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303034",
            "telephone_number": "858-793-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENAU",
        "first_name": "JESSICA",
        "middle_name": "LU",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.