Renata E Rossak

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

001451 Issued in CT

Practice address

2021 Albany Ave
West Hartford, CT 06117-2789

Phone

(860) 570-8266

NPI assigned

Aug 19, 2024

Last updated

Aug 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1669204590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ISAMAY DR",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104009",
            "telephone_number": "860-748-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 ALBANY AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172789",
            "telephone_number": "860-570-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSAK",
        "first_name": "RENATA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "001451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry M Rosenkranz, MD
• John William Rosenlieb Jr., DMD
• Myra Rosenstein, MD
• Alan Howard Rosenthal, RPH
• Helene (Dba Laney) Rosenzweig, LMFT
• Katie Lynn Rossini
• John D Roth Jr.
• Shari Madelene Roth, M.D.
• Janice Ann Rothstein, MA
• Megan Rourke, PA-C

• Physical Therapy Assistant in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Physical Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.