Benjamin Rose, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22442 Issued in MA

Practice address

540 Gallivan Blvd FL 2ND
Dorchester, MA 02124-5400

Phone

(617) 282-8080

Fax

(617) 282-9988

NPI assigned

Aug 3, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bay State Physical Therapy of Randolph Inc

  • Physical Therapist
  • Fall River, MA
  • NPI 1164474334
  Medicare reassignment Care Compare group NPD (past)
• Marathon Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Norton, MA
  • NPI 1225161193
  Medicare reassignment
• Bay State Physical Therapy of Randolph Inc

  • Physical Therapist
  • Brockton, MA
  • NPI 1740390459
  NPD
• Bay State Physical Therapy of Randolph Inc

  • Physical Therapist
  • Franklin, MA
  • NPI 1821108549
  NPD
• Marathon Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Newton, MA
  • NPI 1346373115
  NPD (past)

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1356894653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CREDIT UNION WAY FL 3",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684633",
            "telephone_number": "781-961-3370",
            "fax_number": "781-961-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 GALLIVAN BLVD FL 2ND",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021245400",
            "telephone_number": "617-282-8080",
            "fax_number": "617-282-9988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Longwater Dr Ste 109",
            "address_purpose": "LOCATION",
            "city": "Norwell",
            "state": "MA",
            "postal_code": "020611620",
            "country_code": "US",
            "telephone_number": "339-788-9202",
            "fax_number": "339-788-9872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "BENJAMIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilys Yaret Romero-Arias
• Helen M Romero, MSW LICSW
• Janet Rong, RDH
• Roots Unraveled, LLC
• Mei-Ling Rosario Burgos
• Pamela Ann Rose
• Patti Rosenfield, N.P.
• Beilah B Ross, LICSW
• Katherine Rossi
• Jean Rossner, LMHC

• Physical Therapist in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.