Individual provider Active NPI

Rachel Marie Rosolowski, DPT PT

  • Physical Therapist
  • Costa Mesa, CA
National Provider Identifier
1730899345
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
303243 Issued in CA
Practice address
129 W Wilson St Ste 202
Costa Mesa, CA 92627-1586
Phone
(949) 631-0125
Fax
(949) 631-0127
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 303243 CA Primary

Addresses

Primary practice location

129 W Wilson St Ste 202
Costa Mesa, CA 92627-1586

Mailing address

413 S Juanita Ave
Redondo Beach, CA 90277-3825
Phone (310) 902-0537

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230109001561 CA Practitioner - Physical Therapist in Private Practice 2668842642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Physical Therapy and Rehabilitation IncGroup PAC ID 6800857434, 6 clinicians

Practice addresses (Care Compare)

129 W Wilson St
Suite 202
Costa Mesa, CA 92627-1586
Phone (949) 631-0125

Merit-based Incentive Payment System (MIPS)

Final score
87.11 of 100Reported as individual
Quality
83.97
Improvement activities
40
Cost
78.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Physical Therapy and Rehabilitation Inc Physical Therapist CurrentSince Dec 6, 2022 Accepting new patients

Locations

129 W Wilson St
Ste 202
Costa Mesa, CA 92627
Phone (949) 631-0125

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.

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1730899345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 S JUANITA AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773825",
            "telephone_number": "310-902-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W WILSON ST STE 202",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271586",
            "telephone_number": "949-631-0125",
            "fax_number": "949-631-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSOLOWSKI",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "DPT PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.