Mark Manuel Rosales, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61444475 Issued in WA

Practice address

1445 Galaxy Dr NE Ste 301
Lacey, WA 98516-4754

Phone

(360) 456-1444

Fax

(360) 456-1883

NPI assigned

Jun 7, 2023

Sex

Male

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 WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centralia Physical Therapy Inc PSGroup PAC ID 0648429688, 20 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.

• Centralia Physical Therapy Inc PS

  • Physical Therapist
  • Centralia, WA
  • NPI 1952666315
  Medicare reassignment Care Compare group NPD
• Penrose & Associates Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Lacey, WA
  • NPI 1740480110
  Medicare reassignment NPD

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1508550955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7422 20TH AVE SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985033007",
            "telephone_number": "253-740-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 GALAXY DR NE STE 301",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985164754",
            "telephone_number": "360-456-1444",
            "fax_number": "360-456-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "MARK",
        "middle_name": "MANUEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61444475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rojas Care LLC
• Nelson Daniel Rojas Mieres, PT
• Sarah Lynne Ronfeldt, LMP
• Katie E Rongey
• Michael Dwayne Roos, MA, LMFT
• Lauren Elizabeth Rose, CCC-SLP
• Ross Jagger Sapp PLLC
• Sydney Rebecca Rothfels, LMP
• Sarah Rothwell
• Brian Kent Rounds, DDS

• Physical Therapist in Lacey, WA
• Providers in Lacey, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.