Organization Active NPI

Rosal Rehab Services - a Physical Therapy Corporation

  • Physical Therapy Clinic/Center
  • Ridgecrest, CA
National Provider Identifier
1497349476
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ROSAL REHAB SERVICES - A PHYSICAL THERAPY CORPORATION
Practice address
627 Garis Ave
Ridgecrest, CA 93555-3103
Phone
(818) 451-6884
NPI assigned
Feb 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Jonart Rosal, PT, DPTNPI 1922680107
Title
President
Phone
(818) 451-6884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

627 Garis Ave
Ridgecrest, CA 93555-3103

Mailing address

627 Garis Ave
Ridgecrest, CA 93555-3103
Phone (760) 977-1554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210902000175 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5698171486 Receives reassigned benefits from 1 practitioner
Practice locations: Ridgecrest, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1497349476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 GARIS AVE",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553103",
            "telephone_number": "760-977-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 GARIS AVE",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553103",
            "telephone_number": "818-451-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSAL REHAB SERVICES - A PHYSICAL THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "ROSAL",
        "authorized_official_first_name": "JONART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-451-6884",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.