Carlos Rosa, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36209 Issued in CA

Practice address

4055 Evergreen Village SQ
Ste 260
San Jose, CA 95135-1748

Phone

(408) 238-1552

Fax

(408) 531-1374

NPI assigned

Nov 19, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1679801237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 SAN FELIPE RD",
            "address_2": "STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351546",
            "telephone_number": "408-238-1550",
            "fax_number": "408-531-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 EVERGREEN VILLAGE SQ",
            "address_2": "STE 260",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351748",
            "telephone_number": "408-238-1552",
            "fax_number": "408-531-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "CARLOS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-19",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT36209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Roozeboom, MS, OTR/L
• Jocelyn Wilgem Roque
• Leah Roque, C.N.A, H.H.A.
• Samantha Gabrielle Bonifacio Roque
• Audrey Roqueza
• Lyric Christine Rosa
• Stephanie Rosa
• Briana Belen Rosales Cardenas
• Janet Rosales
• Jennifer Rosales

• Physical Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.