Active NPI
Terrence Michael Rose Jr., DPT
- Physical Therapist
- Williamsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010381-1
- Practice address
- 180 Park Club LN Ste 225a
Williamsville, NY 14221-5260 - Phone
- (716) 479-8752
- Fax
- (716) 674-6070
- NPI assigned
- Jul 16, 2010
- Sex
- Male
- 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 | 010381-1 | NY | Primary |
Addresses
Primary practice location
180 Park Club LN Ste 225a
Williamsville, NY 14221-5260
Mailing address
180 Park Club LN Ste 225a
Williamsville, NY 14221-5260
Phone (716) 479-8752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2075 Sheridan Dr
Suite D
Tonawanda, NY 14223-1425
Phone (716) 803-8220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010381-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Care Physical Therapy Aquatics and Fitness PC | Physical Therapist | Current | Accepting new patients |
| Susan E Bennett PT PC | Current | Accepting new patients |
Locations
3352 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 662-2922
2075 Sheridan Dr
Ste D
Tonawanda, NY 14223
Phone (716) 803-8220
15 S Forest Rd
Williamsville, NY 14221
Phone (716) 204-8734
180 Park Club Ln
Ste 225A
Williamsville, NY 14221
Phone (716) 276-3567
40 George Karl Blvd
Ste E
Williamsville, NY 14221
Phone (716) 803-8220
Organizations & group practices 3
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
- Kenmore, NY
- NPI 1710021001
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Williamsville, NY
- NPI 1982878864
-
- Physical Therapist
- Niagara Falls, NY
- NPI 1891883385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577318400000",
"number": "1376856526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 PARK CLUB LN STE 225A",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215260",
"telephone_number": "716-479-8752",
"fax_number": "716-670-6070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 PARK CLUB LN STE 225A",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215260",
"telephone_number": "716-479-8752",
"fax_number": "716-674-6070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "TERRENCE",
"middle_name": "MICHAEL",
"name_suffix": "Jr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-16",
"last_updated": "2019-12-26",
"certification_date": "2019-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "010381-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.