Active NPI
Shawn R Rosengrant, DPT
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1548597750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305205956
- Practice address
- 968 First Colonial Rd
Suite 101
Virginia Beach, VA 23454-3171 - Phone
- (757) 226-0075
- Fax
- (757) 412-1015
- NPI assigned
- Nov 9, 2009
- Last updated
- Apr 29, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305205956 | VA | Primary |
Addresses
Primary practice location
968 First Colonial Rd
Suite 101
Virginia Beach, VA 23454-3171
Mailing address
968 First Colonial Rd
Suite 101
Virginia Beach, VA 23454-3171
Phone (757) 226-0075
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glasson Sports Medicine PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272499200000",
"number": "1548597750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "968 FIRST COLONIAL RD",
"address_2": "SUITE 101",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234543171",
"telephone_number": "757-226-0075",
"fax_number": "757-412-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "968 FIRST COLONIAL RD",
"address_2": "SUITE 101",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234543171",
"telephone_number": "757-226-0075",
"fax_number": "757-412-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENGRANT",
"first_name": "SHAWN",
"middle_name": "R",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-09",
"last_updated": "2010-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305205956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.