Matthew T Rosewag, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19977 Issued in MD

Practice address

8186 Lark Brown Rd
Ste 201
Elkridge, MD 21075-6434

Phone

(410) 730-3399

Fax

(443) 478-4726

NPI assigned

Sep 27, 2016

Last updated

Aug 29, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MD, WV2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Red Canyon LLCGroup PAC ID 1052618352, shared by 2 NPIs, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Red Canyon, LLC

  • Physical Therapist
  • Frederick, MD
  • NPI 1952768673
  Medicare reassignment NPD
• Red Canyon, LLC

  • Physical Therapist
  • Martinsburg, WV
  • NPI 1841872405
  Medicare reassignment NPD
• Red Canyon, LLC

  • Physical Therapist
  • Frederick, MD
  • NPI 1740165422
  Authorized official Same address or phone
• Red Canyon, LLC

  • Physical Therapist
  • Inwood, WV
  • NPI 1760349922
  Authorized official Same address or phone
• Red Canyon, LLC

  dba Red Canyon Physical Therapy

  • Physical Therapy Clinic/Center
  • Columbia, MD
  • NPI 1366007338
  NPD

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1659820934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 SIGNAL BELL LN",
            "address_2": "STE 200",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210292606",
            "telephone_number": "410-730-3399",
            "fax_number": "443-478-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8186 LARK BROWN RD",
            "address_2": "STE 201",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756434",
            "telephone_number": "410-730-3399",
            "fax_number": "443-478-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEWAG",
        "first_name": "MATTHEW",
        "middle_name": "T",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-27",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Danielle Robinson, LMSW, LGSW, MSW
• Kasha Rockiel Robinson, FNP-BC
• Nicole Marie Rod, MS,OTR/L
• Asha Rogers
• Rootcause Massage & Wellness LLC
• Tamieko Ross-Anyaso, CRNP
• Rower Chiropractic LLC
• Jason E Rower, D.C.
• Nicole Deangelo Rozof, FNP
• Martin Rubin, M.D.

• Physical Therapist in Elkridge, MD
• Providers in Elkridge, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.