Individual provider Active NPI

Justin Daniel Rosas

  • Physical Therapy Assistant
  • Corpus Christi, TX
National Provider Identifier
1649917311
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2168919 Issued in TX
Practice address
14302 Nemo CT
Corpus Christi, TX 78418-6238
Phone
(361) 949-9898
Fax
(361) 949-9897
NPI assigned
May 16, 2022
Last updated
May 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2168919 TX Primary

Addresses

Primary practice location

14302 Nemo CT
Corpus Christi, TX 78418-6238

Mailing address

14302 Nemo CT
Corpus Christi, TX 78418-6238
Phone (361) 949-9898

Other practice location 1

3747 S Alameda St
Corpus Christi, TX 78411-1629
Phone (361) 814-9898

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

LicenseStateTypeSpecialty
2168919TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New Stride Physical Therapy & Rehabilitation CurrentSince May 22, 2022 Accepting new patients

Locations

14302 Nemo Ct
Corpus Christi, TX 78418
Phone (361) 949-9898

3747 S Alameda St
Corpus Christi, TX 78411
Phone (361) 814-9898

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": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1649917311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14302 NEMO CT",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186238",
            "telephone_number": "361-949-9898",
            "fax_number": "361-949-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14302 NEMO CT",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186238",
            "telephone_number": "361-949-9898",
            "fax_number": "361-949-9897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3747 S Alameda St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784111629",
            "country_code": "US",
            "telephone_number": "361-814-9898",
            "fax_number": "361-814-9897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSAS",
        "first_name": "JUSTIN",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2168919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.