Active NPI
Jill Christin Rose, PT
- Physical Therapist
- Lakewood Ranch, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22420
- Practice address
- 11505 Palmbrush TRL
Lakewood Ranch, FL 34202-2917 - Phone
- (941) 747-2090
- Fax
- (941) 487-6233
- NPI assigned
- Apr 26, 2007
- Last updated
- Jun 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22420 | FL | Primary |
| Physical Therapist | 225100000X | 21535 | MD | |
| Physical Therapist | 225100000X | 5529209 | NY |
Addresses
Primary practice location
11505 Palmbrush TRL
Lakewood Ranch, FL 34202-2917
Mailing address
5285 Palm Isles Blvd
Sarasota, FL 34233-3955
Phone (773) 726-2401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y0A2G | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6114 State Rd 70
Kaizen Total Wellness
Bradenton, FL 34203-9712
Phone (941) 315-6182
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22420 | FL | MD | Physical Therapist |
| 21535 | MD | MD | Physical Therapist |
| 5529209 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Medical Specialists, LLC | Current | Accepting new patients | |
| Florida Medical Specialists LLC | Current | Accepting new patients | |
| Florida Medical Specialists LLC | Current | Accepting new patients | |
| Florida Medical Specialists LLC | Past | Accepting new patients | |
| Back in Motion Sarasota Physical | Physical Therapist | Past | Accepting new patients |
| Neuromuscular Therapy Center Inc | Physical Therapist | Past | Accepting new patients |
| Florida Medical Specialists, LLC | Physical Therapist | Past | Accepting new patients |
| Best Value Healthcare LLC | Past | Accepting new patients | |
| Universal Health Institute, LTD | Past | Accepting new patients |
Locations
6114 State Road 70 E
Bradenton, FL 34203
Phone (941) 315-6182
7431 Manatee Ave W
Bradenton, FL 34209
Phone (941) 313-7142
3830 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 921-0383
3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872
3844 Bee Ridge Rd
Sarasota, FL 34233
Phone (941) 202-5342
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 9
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.
-
dba Cancer Center of Sarasota
- Hematology & Oncology Physician
- Sarasota, FL
- NPI 1750399598
-
dba Cancer Center of Sarasota Manatee
- Hematology & Oncology Physician
- Lakewood Ranch, FL
- NPI 1891419925
-
dba Kaizen Total Wellness
- Physical Medicine & Rehabilitation Physician
- Bradenton, FL
- NPI 1396185047
-
dba MAXhealth Sarasota
- Internal Medicine Physician
- Sarasota, FL
- NPI 1164795563
-
dba Kaizen
- Physical Medicine & Rehabilitation Physician
- Sarasota, FL
- NPI 1407296130
Physical Therapist
-
- Chiropractor
- Chicago, IL
- NPI 1902903081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1649490095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5285 PALM ISLES BLVD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342333955",
"telephone_number": "773-726-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11505 PALMBRUSH TRL",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342022917",
"telephone_number": "941-747-2090",
"fax_number": "941-487-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "JILL",
"middle_name": "CHRISTIN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "22420",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21535",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "5529209",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y0A2G",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood Ranch, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.