Active NPI
Douglas Rosener, P.T.
- Physical Therapist
- Columbia, MD
National Provider Identifier
1679628291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18876
- Practice address
- 7080 Deepage Dr
Columbia, MD 21045-5219 - Phone
- (410) 381-7000
- Fax
- (410) 381-3779
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18876 | MD | Primary |
Addresses
Primary practice location
7080 Deepage Dr
Columbia, MD 21045-5219
Mailing address
7080 Deepage Dr
Columbia, MD 21045-5219
Phone (410) 381-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S429 | Other | MD | BLUE SHIELD DC |
| KBX3 | Other | MD | BLUE SHIELD MD |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Physical Aquatic Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Chesapeake Physical Aquatic Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Catonsville, MD
- NPI 1730233479
-
- Physical Therapist
- Columbia, MD
- NPI 1487708178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679628291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7080 DEEPAGE DR",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455219",
"telephone_number": "410-381-7000",
"fax_number": "410-381-3779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7080 DEEPAGE DR",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455219",
"telephone_number": "410-381-7000",
"fax_number": "410-381-3779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENER",
"first_name": "DOUGLAS",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "18876",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD DC",
"identifier": "S429",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD MD",
"identifier": "KBX3",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.