Damien Ekki Rosa, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT39312 Issued in FL

Practice address

1110 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4884

Phone

(850) 934-2280

NPI assigned

Feb 3, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1548966252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 GULF BREEZE PKWY APT 3200",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633618",
            "telephone_number": "607-742-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614884",
            "telephone_number": "850-934-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "DAMIEN",
        "middle_name": "EKKI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger V Ostrander MD
• Elizabeth Rogers, LCSW
• Hilary Rojas, APRN
• Roose Performance LLC
• Christina Marie Ropp
• Kendall Alina Rosebrock, LAT, ATC
• Travis Roth, M.D.
• Lee Ann Ruffin, BSPT
• Mark David Ruiz, PHD
• Sakara Nicole Runge

• Physical Therapist in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.