Individual provider Active NPI

Glenn D. Rosner, CMT

  • Specialist
  • Pleasant Hill, CA
National Provider Identifier
1346546330
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4843 Issued in CA
Practice address
140 Mayhew Way
Suite 200
Pleasant Hill, CA 94523-4328
Phone
(925) 808-9925
NPI assigned
Feb 8, 2011
Last updated
Feb 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4843 CA Primary

Addresses

Primary practice location

140 Mayhew Way
Suite 200
Pleasant Hill, CA 94523-4328

Mailing address

785 Oak Grove Rd # 304
Concord, CA 94518-3615
Phone (925) 808-9925

Other identifiers 2

IdentifierTypeStateIssuer
4843OtherCACALIFORNIA MASSAGE THERAPY COUNCIL
943904OtherCAASSOCIATED BODYWORK & MASSAGE PROFESSIONALS

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

NPI Registry JSON

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1346546330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 OAK GROVE RD # 304",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945183615",
            "telephone_number": "925-808-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MAYHEW WAY",
            "address_2": "SUITE 200",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234328",
            "telephone_number": "925-808-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSNER",
        "first_name": "GLENN",
        "middle_name": "D.",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "4843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MASSAGE THERAPY COUNCIL",
            "identifier": "4843",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATED BODYWORK & MASSAGE PROFESSIONALS",
            "identifier": "943904",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.