Kathleen Ross, DPT

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

PT30360 Issued in FL

Practice address

7503 Maritime LN
Springfield, VA 22153-1626

Phone

(757) 334-4402

NPI assigned

Jun 4, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1619357647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14043 PRATER CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240867",
            "telephone_number": "757-334-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7503 MARITIME LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221531626",
            "telephone_number": "757-334-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KATHLEEN",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT30360",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "30360",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "PT30360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosenman-Brendmoen & Associates PLLC
• Lawrence D Rosenman, D.D.S.
• Jonathan H Rosenthal, MD
• Cecilia Duarte Ross, PA-C
• Julie Ross, OTD, OTR/L
• McKenzie Leigh Ross, M.S./CCC-SLP
• Christopher N Rossbach, MD
• Abigail Rose Rossiter, DPT, PT
• Elizabeth DO Roth, FNP-C
• Jacklyn Ann Rothenberger, MFT

• Developmental Therapist in Springfield, VA
• Providers in Springfield, VA by specialty
• Developmental Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.