Sherrice Broussard Rose, PT DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT26698 Issued in FL

Practice address

2307 S Dale Mabry Hwy Ste F
Tampa, FL 33629-6322

Phone

(813) 374-9508

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Emory University School of Medicine, 2004

Medicare assignment

May accept Medicare assignment

Group practices

Potentia Therapeutics, LLCGroup PAC ID 6103181888, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Potentia Therapeutics, LLC

  • Physical Therapist
  • Tampa, FL
  • NPI 1063910982

  Orthopedic

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1407929359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 S DALE MABRY HWY STE F",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296322",
            "telephone_number": "813-374-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 S DALE MABRY HWY STE F",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296322",
            "telephone_number": "813-374-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "SHERRICE",
        "middle_name": "BROUSSARD",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT26698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Rose
• Lisa Michelle Rose, ARNP-C
• Lori Lowe Rose
• Marcus William Rose, MSP, CCC-SLP
• Paul Rose, L.M.T.
• Trevor Anthony Rose Jr., MD
• Warren Lee Rose II, RRT
• Ruth Anne Roseberry, BCBA
• Yanara Rosello Garcia
• Amber Roseman, BCBA

• Orthopedic Physical Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.