Active NPI
Rosemarie Deweese Girard, P.T.
- Pediatric Physical Therapist
- Vallejo, CA
National Provider Identifier
1700948858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT5242
- Practice address
- 305 Woodson Way
Vallejo, CA 94591-4154 - Phone
- (707) 643-9057
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT5242 | CA | Primary |
Addresses
Primary practice location
305 Woodson Way
Vallejo, CA 94591-4154
Mailing address
305 Woodson Way
Vallejo, CA 94591-4154
Phone (707) 643-9057
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5242 | CA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Solano | Past | Accepting new patients | |
| Solano County CCS | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Fairfield, CA
- NPI 1083845275
-
- Rehabilitation Clinic/Center
- Fairfield, CA
- NPI 1619051166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700948858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 WOODSON WAY",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945914154",
"telephone_number": "707-643-9057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 WOODSON WAY",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945914154",
"telephone_number": "707-643-9057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIRARD",
"first_name": "ROSEMARIE",
"middle_name": "DEWEESE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "PT5242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.