Individual provider Active NPI

Amie Rosenfeld, PT

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1366471294
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22097 Issued in FL
Practice address
777 Glades Road., Me-104, RM 104K
Florida Atlantic University- College of Medicine
Boca Raton, FL 33431-0991
Phone
(561) 297-4774
Fax
(561) 297-4986
NPI assigned
Jul 2, 2006
Last updated
Jan 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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 PT22097 FL Primary

Addresses

Primary practice location

777 Glades Road., Me-104, RM 104K
Florida Atlantic University- College of Medicine
Boca Raton, FL 33431-0991

Mailing address

777 Glades Rd., Me-104, RM 104K
Florida Atlantic University- College of Medicine
Boca Raton, FL 33431-0991
Phone (561) 297-4774

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Health System, Inc. Past Accepting new patients
Wellstar Kennestone Pediatric Associates, LLC Past Accepting new patients

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1366471294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 GLADES RD., ME-104, RM 104K",
            "address_2": "FLORIDA ATLANTIC UNIVERSITY- COLLEGE OF MEDICINE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334310991",
            "telephone_number": "561-297-4774",
            "fax_number": "561-297-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 GLADES ROAD., ME-104, RM 104K",
            "address_2": "FLORIDA ATLANTIC UNIVERSITY- COLLEGE OF MEDICINE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334310991",
            "telephone_number": "561-297-4774",
            "fax_number": "561-297-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENFELD",
        "first_name": "AMIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.