Individual provider Active NPI

Javier Antonio Rosa, M.P.T., P.T.

  • Physical Therapist
  • Carolina, PR
National Provider Identifier
1346348588
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001137 Issued in PR
Practice address
Road 857 KM 0.4 Canovanillas
Carolina, PR 00987
Phone
(787) 319-5922
Fax
(787) 886-2105
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 001137 PR Primary

Addresses

Primary practice location

Road 857 KM 0.4 Canovanillas
Carolina, PR 00987

Mailing address

PO Box 900
Canovanas, PR 00729-0900
Phone (787) 319-5922

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050616000082 PR Practitioner - Physical Therapist in Private Practice 9638113087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

A1 Calle Yunquesito
Carolina, PR 00987-8032
Phone (787) 757-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001137PRMDPhysical Therapist
1137PRMDClinical Medical Laboratory

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Experts,PSC CurrentSince Oct 13, 2008 Accepting new patients
Physical Therapy Experts,PSC CurrentSince Feb 25, 2024 Accepting new patients

Locations

A1 Calle Yunquesito
Carolina, PR 00987
Phone (787) 757-3000

Organizations & group practices 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346348588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007290900",
            "telephone_number": "787-319-5922",
            "fax_number": "787-886-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD 857 KM 0.4 CANOVANILLAS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987",
            "telephone_number": "787-319-5922",
            "fax_number": "787-886-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "JAVIER",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "M.P.T., P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "001137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.