Individual provider Active NPI

Rachel Gibian Rosvold, PT, DPT

  • Physical Therapist
  • San Luis Obispo, CA
National Provider Identifier
1386940955
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41133 Issued in CA
Practice address
846 Tarragon LN
San Luis Obispo, CA 93401-7264
Phone
(610) 742-7856
NPI assigned
Jan 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 033338-1 NY
Physical Therapist 225100000X 41133 CA Primary

Addresses

Primary practice location

846 Tarragon LN
San Luis Obispo, CA 93401-7264

Mailing address

846 Tarragon LN
San Luis Obispo, CA 93401-7264
Phone (610) 742-7856

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

State licenses

LicenseStateTypeSpecialty
41133CAMDLicensed Psychiatric Technician
033338-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Uplift Pelvic Floor Physical Therapy, LLC Current Accepting new patients
Joseph Boehm, P.T. Physical Therapist PastSince Jun 16, 2015 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1386940955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 TARRAGON LN",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017264",
            "telephone_number": "610-742-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 TARRAGON LN",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017264",
            "telephone_number": "610-742-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSVOLD",
        "first_name": "RACHEL",
        "middle_name": "GIBIAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-31",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033338-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.