Individual provider Active NPI

Bethany Rose Rosser, DPT

  • Physical Therapist
  • Daphne, AL
National Provider Identifier
1639962046
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH12310 Issued in AL
Practice address
25620 Friendship Rd
Daphne, AL 36526-6022
Phone
(251) 270-1551
NPI assigned
May 28, 2025
Last updated
May 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH12310 AL Primary

Addresses

Primary practice location

25620 Friendship Rd
Daphne, AL 36526-6022

Mailing address

1313 Schillinger Rd S Apt 1411
Mobile, AL 36695-8992
Phone (423) 646-0160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250617002921 AL Practitioner - Physical Therapist in Private Practice 9931610896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refine PT and Performance LLCGroup PAC ID 6103164967, 21 clinicians

Practice addresses (Care Compare)

25620 Friendship Rd
Daphne, AL 36526-6022
Phone (251) 270-1551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH12310ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Refine PT and Performance LLC Physical Therapist CurrentSince Jun 11, 2025 Accepting new patients

Locations

25620 Friendship Rd
Daphne, AL 36526
Phone (251) 270-1551

108 S Florida St
Mobile, AL 36606
Phone (251) 501-2700

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": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1639962046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 SCHILLINGER RD S APT 1411",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366958992",
            "telephone_number": "423-646-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25620 FRIENDSHIP RD",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365266022",
            "telephone_number": "251-270-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSER",
        "first_name": "BETHANY",
        "middle_name": "ROSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH12310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.