Brandon Rosa

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT42264 Issued in FL

Practice address

26830 Ridgebrook Dr Unit 102
Wesley Chapel, FL 33544-6464

Phone

(813) 345-4915

NPI assigned

Oct 17, 2024

Last updated

Jan 6, 2025By the provider in NPPES

Sex

Male

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 FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optimal Performance and Physical Therapies Wesley Chapel, LLC

  • Physical Therapist
  • Wesley Chapel, FL
  • NPI 1770094658
  Medicare reassignment NPD

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1730900333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21756 STATE ROAD 54 STE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335492905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26830 RIDGEBROOK DR UNIT 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446464",
            "telephone_number": "813-345-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-17",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Romano
• Roni S. Lowery, LLC
• Lauren A Roque
• Laquinta Dionne Rorie, APRN
• Alex Enrique Rosa, LMHC
• Amanda Rosado
• Elizabeth Rosas-Diaz, M.S., CCC-SLP TSSLD
• Amber Dimarco Roseland, DPT
• Keith Rosenbach, MD
• Donna Rosenfield, PA-C

• Physical Therapist in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.