Daniel Roselio, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

65019 Issued in OR

Practice address

680 Ivy St
Junction City, OR 97448-1636

Phone

(541) 998-9988

Fax

(541) 998-9987

NPI assigned

Aug 14, 2023

Last updated

Aug 14, 2023By 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 OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oregon Neurosport Physical TherapyGroup PAC ID 6305827619, 3 clinicians

Practice addresses (Care Compare)

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

• Oregon Neurosport Physical Therapy

  • Physical Therapist
  • Junction City, OR
  • NPI 1073667218
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1740063932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "city": "JUNCTION CITY",
            "state": "OR",
            "postal_code": "974480275",
            "telephone_number": "541-998-9988",
            "fax_number": "541-998-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 IVY ST",
            "city": "JUNCTION CITY",
            "state": "OR",
            "postal_code": "974481636",
            "telephone_number": "541-998-9988",
            "fax_number": "541-998-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSELIO",
        "first_name": "DANIEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Renee Richmond, COTA
• Carol Tracy Riddle
• Stephanie Ridgley, FNP
• Alexis Michelle Rinehart
• Eileen Mary Rodriguez
• Emily Ruth
• Amir Sabzalian
• Safeway Inc (Safeway Pharmacy #0386)
• Shyanne Marie Samaniego
• Sebastian Kenneth Parviz Samiee

• Physical Therapist in Junction City, OR
• Providers in Junction City, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.