Ross Physical Therapy Services LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004782 Issued in CT

Legal business name

ROSS PHYSICAL THERAPY SERVICES LLC

Practice address

52 National Dr
Glastonbury, CT 06033-1212

Phone

(860) 633-8040

Fax

(860) 633-8047

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Richard L Ross, PTNPI 1306030713

Title

Owner

Phone

(860) 633-8040

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard L Ross Jr., PT

  • Physical Therapist
  • Glastonbury, CT
  • NPI 1306030713
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1477611747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060330444",
            "telephone_number": "860-633-8040",
            "fax_number": "860-633-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 NATIONAL DR",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331212",
            "telephone_number": "860-633-8040",
            "fax_number": "860-633-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS PHYSICAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-633-8040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "004782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "080004782CT16",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4339765",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V8218",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ORTHO",
            "identifier": "32301",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosedale of Glastonbury LP
• Sally B Rosenberg, DDS
• Dena Rosenbloom, PH.D.
• Rosewood Therapy CT
• James Stephen Rosokoff, M.D.
• Mark David Ross, MS, ATC, CSCS
• Richard L Ross Jr., PT
• Round and Herrick Family Dentistry P.C.
• John Round, D.M.D.
• Abby Jane Rourke, A.T.C., CSCS

• Physical Therapist in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.