Craig Rosen, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02234700 Issued in NJ

Practice address

266 Harristown Rd Ste 200
Glen Rock, NJ 07452-3354

Phone

(551) 214-0198

NPI assigned

Dec 23, 2024

Sex

Male

Sole proprietor

Yes

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 NJ, PA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One Physical Therapy and Wellness, LLCGroup PAC ID 1951439694, 12 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• One Physical Therapy and Wellness, LLC

  • Physical Therapist
  • Bryn Mawr, PA
  • NPI 1679804413
  Medicare reassignment Care Compare group
• Sportsmed PT LLC

  • Physical Therapist
  • Glen Rock, NJ
  • NPI 1841787645
  Medicare reassignment NPD

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1609684620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 LYNN DR",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172328",
            "telephone_number": "201-790-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 HARRISTOWN RD STE 200",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523354",
            "telephone_number": "551-214-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "CRAIG",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02234700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Lynn Ritterman
• Charyn Eve Ritvo
• Raiyona Roane, LAC
• Deborah Ida Roberts, MA CCC-SLP
• Rock Physical Therapy & Sports Rehabilitation Inc
• Alisa Rosenberg, PSY.D.
• Rinat Roth, DDS
• Anne Rothenberg, PSYD
• Rebecca Rowtie, LAC
• Nicole Dawn Rubackin-Hayward, DPM

• Physical Therapist in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.