Active NPI
Paul Rosenthal, PT, PHD, CLT-LANA
- Physical Therapist
- Brookings, OR
National Provider Identifier
1689657645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1641
- Practice address
- 580 5TH St
Suite 600
Brookings, OR 97415-9702 - Phone
- (541) 469-7314
- Fax
- (541) 469-3669
- NPI assigned
- Nov 23, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1641 | OR | Primary |
| Physical Therapist | 225100000X | 8374 | CA |
Addresses
Primary practice location
580 5TH St
Suite 600
Brookings, OR 97415-9702
Mailing address
PO Box 1659
Brookings, OR 97415-0040
Phone (541) 469-7314
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1641 | OR | MD | Physical Therapist |
| 8374 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Home Health & Hospice Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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
- Brookings, OR
- NPI 1043375520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1689657645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1659",
"city": "BROOKINGS",
"state": "OR",
"postal_code": "974150040",
"telephone_number": "541-469-7314",
"fax_number": "541-469-3669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 5TH ST",
"address_2": "SUITE 600",
"city": "BROOKINGS",
"state": "OR",
"postal_code": "974159702",
"telephone_number": "541-469-7314",
"fax_number": "541-469-3669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "PT, PHD, CLT-LANA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "1641",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "8374",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookings, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.