Active NPI
Megan Rosenau, PT
- Physical Therapist
- Gresham, OR
National Provider Identifier
1366920464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5959
- Practice address
- 270 NW Burnside Rd
Gresham, OR 97030-3836 - Phone
- (503) 215-9147
- Fax
- (503) 215-9149
- NPI assigned
- Jul 31, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5959 | OR | Primary |
Addresses
Primary practice location
270 NW Burnside Rd
Gresham, OR 97030-3836
Mailing address
270 NW Burnside Rd
Gresham, OR 97030-3836
Phone (503) 215-9147
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5959 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1366920464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 NW BURNSIDE RD",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970303836",
"telephone_number": "503-215-9147",
"fax_number": "503-215-9149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 NW BURNSIDE RD",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970303836",
"telephone_number": "503-215-9147",
"fax_number": "503-215-9149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENAU",
"first_name": "MEGAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-31",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "5959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.