Individual provider Active NPI

Jeremiah S Rosenkrans, D.P.T

  • Physical Therapist
  • Ellenton, FL
National Provider Identifier
1376774182
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24652 Issued in FL
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

Updated by the provider on Feb 28, 2024

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 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

Enrollment IDStateProvider typePAC IDDetails
I20100115000817 FL Practitioner - Physical Therapist in Private Practice 1658413448 Reassigns benefits to 1 organization

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
Action Potential LLCGroup PAC ID 0840394599, 4 clinicians

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

LicenseStateTypeSpecialty
PT24652FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Action Potential LLC Physical Therapist CurrentSince Feb 28, 2024 Accepting new patients
Fyzbiz, LLC Physical Therapist Past Accepting new patients
Venice Rehab, LLC Physical Therapist PastSince Oct 1, 2011 Accepting new patients
Natural Healing Arts Medical Center, Inc. PastSince Jun 1, 2008 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.

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.

Verify at the official NPI Registry.