Individual provider Active NPI

Carly Rosendale, DPT

  • Physical Therapist
  • Ellwood City, PA
National Provider Identifier
1366159519
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1807 Mercer Rd
Ellwood City, PA 16117-3037
Phone
(724) 758-3338
Fax
(724) 752-8878
NPI assigned
Oct 27, 2022
Last updated
Oct 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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 Primary

Addresses

Primary practice location

1807 Mercer Rd
Ellwood City, PA 16117-3037

Mailing address

1807 Mercer Rd
Ellwood City, PA 16117-3037
Phone (724) 758-3338

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221215000061 PA Practitioner - Physical Therapist in Private Practice 4183093008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Air Physical Therapy IncGroup PAC ID 4688836570, 8 clinicians

Practice addresses (Care Compare)

1807 Mercer Rd
Ellwood City, PA 16117-3037
Phone (724) 758-3338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Air Physical Therapy Inc CurrentSince Feb 15, 2023 Accepting new patients
Air Physical Therapy LLC Physical Therapist PastSince Oct 30, 2022 Accepting new patients

Locations

1807 Mercer Rd
Ellwood City, PA 16117
Phone (724) 758-3338

2610 Ellwood Rd
New Castle, PA 16101
Phone (724) 202-6971

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, 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": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1366159519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 MERCER RD",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161173037",
            "telephone_number": "724-758-3338",
            "fax_number": "724-752-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 MERCER RD",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161173037",
            "telephone_number": "724-758-3338",
            "fax_number": "724-752-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENDALE",
        "first_name": "CARLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellwood City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.