Mary Helenie Bontol Roska, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

015994-1 Issued in NY

Practice address

800 S Wilbur Ave
Syracuse, NY 13204-2732

Phone

(315) 473-5061

Fax

(315) 473-5093

NPI assigned

Mar 7, 2007

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Binghamton, NY
  • NPI 1316088941
  NPD
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Fulton, NY
  • NPI 1184758807
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1700916590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 KINGS PARK DR",
            "address_2": "APT C",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130902706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S WILBUR AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042732",
            "telephone_number": "315-473-5061",
            "fax_number": "315-473-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSKA",
        "first_name": "MARY HELENIE",
        "middle_name": "BONTOL",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015994-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia D. Rose, OD
• Eileen S Rosecrants, PA
• Joel M Rosenberg, MD
• Patricia Ann Roser, LPN
• Peter Anthony Rosher, B.S.,R.PH.
• Sarah Rosner, MD
• Octavia Ross-Hardy
• Barbara Ross, PT,DPT
• Bernice W Ross
• Carmellia Ross, LPN

• Physical Therapist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.