NPIMap

Individual provider Active NPI

Richard M. a. Rosenberg, MPT, DPT

  • Physical Therapist
  • Folsom, CA
National Provider Identifier
1477572592
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT26357 Issued in CA
Practice address
1635 Creekside Dr
Suite 101
Folsom, CA 95630-3830
Phone
(916) 983-5611
Fax
(916) 983-5615
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT26357 CA Primary

Addresses

Primary practice location

1635 Creekside Dr
Suite 101
Folsom, CA 95630-3830

Mailing address

8068 Mesa Oak Way
Citrus Heights, CA 95610-0646
Phone (916) 726-3481

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation and Occupational Consultants Physical Therapist Past Accepting new patients
Rehabilitation & Occupational Consultants Physical Therapist Past 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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477572592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8068 MESA OAK WAY",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956100646",
            "telephone_number": "916-726-3481",
            "fax_number": "916-726-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 CREEKSIDE DR",
            "address_2": "SUITE 101",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303830",
            "telephone_number": "916-983-5611",
            "fax_number": "916-983-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "RICHARD",
        "middle_name": "M. A.",
        "credential": "MPT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.