John Joseph Roselli Jr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1352417 Issued in TX

Practice address

4430 Lavon Dr Ste 340
Garland, TX 75040-2974

Phone

(972) 495-5416

NPI assigned

Aug 20, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. John Joseph Roselli Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ms_jrosell6@landmarkhealth-direct.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bir JV LLP

  • Rehabilitation Hospital
  • Dallas, TX
  • NPI 1538465901
  NPD (past)

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1649946401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PATTON BLVD APT 406",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750758975",
            "telephone_number": "516-512-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 LAVON DR STE 340",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402974",
            "telephone_number": "972-495-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSELLI",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1352417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "ROSELLI",
            "middle_name": "JOSEPH",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jose Isabel Rosado, QMHP-CS
• Rose Garden Housecall Services, LLC
• Rose Gold Health PLLC
• Rose Imaging Specialists PA
• Deborah Rose, HWT
• Myron Henry Rosen, M.D.
• Rosialyllc Dba Garland Adult Care Center
• Bianca Ross, MSW, LCDC
• Kristin Ashley McDaniel Ross, LMFT-S
• Mitchell Roush

• Physical Therapist in Garland, TX
• Providers in Garland, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.