Active NPI
Amy Rose, P.T.
- Physical Therapist
- North Babylon, NY
National Provider Identifier
1710071253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010250-1
- Practice address
- 710 Deer Park Ave
North Babylon, NY 11703-4307 - Phone
- (631) 587-0946
- Fax
- (631) 587-0979
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 010250-1 | NY | Primary |
Addresses
Primary practice location
710 Deer Park Ave
North Babylon, NY 11703-4307
Mailing address
710 Deer Park Ave
North Babylon, NY 11703-4307
Phone (631) 587-0946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Columbia University College of Physicians and Surgeons, 1988
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
710 Deer Park Ave
Babylon, NY 11703-4307
Phone (631) 587-0946
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010250-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Rose Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
Locations
661 Deer Park Ave
Ste 2
Babylon, NY 11702
Phone (631) 587-0946
710 Deer Park Ave
North Babylon, NY 11703
Phone (631) 321-1100
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
- N. Babylon, NY
- NPI 1730241449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1710071253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 DEER PARK AVE",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117034307",
"telephone_number": "631-587-0946",
"fax_number": "631-587-0979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 DEER PARK AVE",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117034307",
"telephone_number": "631-587-0946",
"fax_number": "631-587-0979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "AMY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "010250-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.