Individual provider Active NPI

Rosemary J C Williamson, PT, DPT, HFS

  • Physical Therapist
  • Erie, PA
National Provider Identifier
1699197814
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024799 Issued in PA
Practice address
5928 Old French Rd
Erie, PA 16509-3656
Phone
(816) 860-7816
Fax
(866) 902-1160
NPI assigned
Jan 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 036669-1 NY
Physical Therapist 225100000X PT024779 PA
Physical Therapist 225100000X 024799 PA Primary

Addresses

Primary practice location

5928 Old French Rd
Erie, PA 16509-3656

Mailing address

5928 Old French Rd
Erie, PA 16509-3656
Phone (814) 860-7816

Other names 1

  • Rosemary J Cooper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140429002077 NY Practitioner - Physical Therapist in Private Practice 7012140981 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036669-1NYMDPhysical Therapist
024799PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Aquatic Wellness of Chautauqua Physical Therapy PLLC Physical Therapist CurrentSince Jan 17, 2024 Accepting new patients
Keystone Rehabilitation Systems, Inc. Past Accepting new patients
Keystone Rehabilitation Systems Inc Past Accepting new patients

Locations

3266 Fluvanna Avenue Ext
Fluvanna, NY 14701
Phone (716) 665-0773

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1699197814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5928 OLD FRENCH RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165093656",
            "telephone_number": "814-860-7816",
            "fax_number": "866-902-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5928 OLD FRENCH RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165093656",
            "telephone_number": "816-860-7816",
            "fax_number": "866-902-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "ROSEMARY",
        "middle_name": "J C",
        "credential": "PT, DPT, HFS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036669-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024779",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "024799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSEMARY",
            "last_name": "COOPER",
            "middle_name": "J",
            "credential": "DPT, PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.