Rosamaria Puente, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004181 Issued in IA

Practice address

5260 Northwest Blvd
Suite #2
Davenport, IA 52806-2463

Phone

(563) 445-2400

Fax

(563) 445-2404

NPI assigned

May 12, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Millennium Rehab & Consulting, Inc.

  dba Millennium Therapy

  • Clinic/Center
  • Davenport, IA
  • NPI 1033349253
  NPD (past)
• Millennium Rehab & Consulting, Inc.

  dba Millennium Therapy

  • Physical Therapist
  • Des Moines, IA
  • NPI 1255385852
  NPD (past)

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1477720118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 W 44TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528064918",
            "telephone_number": "563-386-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5260 NORTHWEST BLVD",
            "address_2": "SUITE #2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528062463",
            "telephone_number": "563-445-2400",
            "fax_number": "563-445-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUENTE",
        "first_name": "ROSAMARIA",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Project Agape
• Prostate Cancer Institute of Iowa PC
• Providence Therapy Services LLC
• Kristin Jolene Prunchak, PTA
• Psychology Health Group
• Pulmonary Associates of QC PC (Mahadevia Sleep Consultants)
• Madison Kay Purvis, MD
• Michael Leonard Puthoff, PT
• QC Counselor PLC
• QC Doula Connect

• Physical Therapist in Davenport, IA
• Providers in Davenport, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.