Active NPI
Jeremiah S Rosenkrans, D.P.T
- Physical Therapist
- Ellenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24652
- Practice address
- 2990 US 301 N
Ellenton, FL 34222-2008 - Phone
- (941) 721-1854
- Fax
- (941) 721-1859
- NPI assigned
- Jul 29, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | PT24652 | FL | Primary |
Addresses
Primary practice location
2990 US 301 N
Ellenton, FL 34222-2008
Mailing address
9070 W Cheyenne Ave Ste 100
Las Vegas, NV 89129-8935
Phone (702) 818-5000
Other practice location 1
6119 Deltona Blvd
Spring Hill, FL 34606-1011
Phone (251) 592-9559
Other practice location 2
13826 Little Rd
Hudson, FL 34667-8025
Phone (727) 378-4927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6119 Deltona Blvd
Spring Hill, FL 34606-1011
Phone (352) 592-9559
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT24652 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action Potential LLC | Physical Therapist | Current | Accepting new patients |
| Fyzbiz, LLC | Physical Therapist | Past | Accepting new patients |
| Venice Rehab, LLC | Physical Therapist | Past | Accepting new patients |
| Natural Healing Arts Medical Center, Inc. | Past | Accepting new patients |
Locations
13826 Little Rd
Hudson, FL 34667
Phone (727) 378-4927
6119 Deltona Blvd
Spring Hill, FL 34606
Phone (352) 592-9559
9070 W Cheyenne Ave
Ste 100
Las Vegas, NV 89129
Phone (702) 268-7213
Networks
- Optimum HealthCare HMO Network
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Spring Hill, FL
- NPI 1497831556
Physical Therapist
-
- Specialist
- Bradenton, FL
- NPI 1558390237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1376774182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9070 W CHEYENNE AVE STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891298935",
"telephone_number": "702-818-5000",
"fax_number": "702-818-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2990 US 301 N",
"city": "ELLENTON",
"state": "FL",
"postal_code": "342222008",
"telephone_number": "941-721-1854",
"fax_number": "941-721-1859"
}
],
"practiceLocations": [
{
"address_1": "6119 Deltona Blvd",
"address_purpose": "LOCATION",
"city": "Spring Hill",
"state": "FL",
"postal_code": "346061011",
"country_code": "US",
"telephone_number": "251-592-9559",
"fax_number": "352-592-9921",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13826 Little Rd",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "FL",
"postal_code": "346678025",
"country_code": "US",
"telephone_number": "727-378-4927",
"fax_number": "727-378-4897",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSENKRANS",
"first_name": "JEREMIAH",
"middle_name": "S",
"credential": "D.P.T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-29",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT24652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.