Active NPI
Jorge Rosado
- Physical Therapy Assistant
- Orlando, FL
National Provider Identifier
1568879559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA20328
- Practice address
- 7656 International Dr
Orlando, FL 32819-8237 - Phone
- (407) 996-0345
- Fax
- (407) 852-5939
- NPI assigned
- Jul 22, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | PTA20328 | FL | Primary |
Addresses
Primary practice location
7656 International Dr
Orlando, FL 32819-8237
Mailing address
10271 Hartford Maroon Rd
Orlando, FL 32827-6927
Phone (407) 453-1046
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA20328 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1568879559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10271 HARTFORD MAROON RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328276927",
"telephone_number": "407-453-1046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7656 INTERNATIONAL DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328198237",
"telephone_number": "407-996-0345",
"fax_number": "407-852-5939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSADO",
"first_name": "JORGE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-22",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA20328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.