Roseann Koerber, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

43260 Issued in CA

Practice address

1414 Park St
Paso Robles, CA 93446-2160

Phone

(805) 226-0975

Fax

(805) 226-0909

NPI assigned

Nov 20, 2015

Sex

Female

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

• Roseann Carter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• San Luis Physical Therapy & Orthopedic Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Atascadero, CA
  • NPI 1225046824

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1689048100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 WALNUT ST",
            "address_2": "SUITE 110",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012416",
            "telephone_number": "805-540-4359",
            "fax_number": "805-200-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 PARK ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462160",
            "telephone_number": "805-226-0975",
            "fax_number": "805-226-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOERBER",
        "first_name": "ROSEANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-20",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSEANN",
            "last_name": "CARTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christian Kim
• Matthew Kim, PHARMD
• Kathleen D Klein
• Francois G Kleynhans
• Lisa Louise Klockenteger, RDHAP
• Lisa Anne Kopper, O.D.
• Koushan H. Azad Dental Corporation
• Charles David Krill, D.D.S.
• Deborah Ann Kronstad, M.D.
• Rouan Edwin Kruger, PHARMACIST

• Physical Therapist in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.