Active NPI
Manuel Viado Rosas, P.T.
- Physical Therapist
- Jacksonville, FL
National Provider Identifier
1770043531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT11841
- Practice address
- 484 Riverside Ave
Jacksonville, FL 32202-4912 - Phone
- (904) 579-2824
- NPI assigned
- Mar 20, 2019
- Sex
- Male
- 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 | PT11841 | FL | Primary |
Addresses
Primary practice location
484 Riverside Ave
Jacksonville, FL 32202-4912
Mailing address
PO Box 932184
Atlanta, GA 31193-2184
Phone (856) 678-3484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H2 Rehabilitation Services of Florida LLC | Current | Accepting new patients | |
| H2 Rehabilitation Services of Florida LLC | Current | Accepting new patients | |
| Burke Collins Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| H2 Rehabilitation Services of Florida LLC | Physical Therapist | Current | Accepting new patients |
| Rehabcare Group East, LLC | Past | Accepting new patients | |
| Academic Dermatology Consultants PA | Past | Accepting new patients |
Locations
831 Santa Barbara Blvd
Ste 227
Cape Coral, FL 33991
3339 Highway 17
Green Cove Springs, FL 32043
Phone (904) 284-5721
484 Riverside Ave
Jacksonville, FL 32202
Phone (904) 579-2824
Organizations & group practices 6
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.
-
- Rehabilitation Clinic/Center
- Jacksonville, FL
- NPI 1306729330
Physical Therapist
-
- Rehabilitation Clinic/Center
- Lakewood Ranch, FL
- NPI 1275285926
Physical Therapist
-
- Rehabilitation Clinic/Center
- West Melbourne, FL
- NPI 1366269144
-
- Rehabilitation Clinic/Center
- Tallahassee, FL
- NPI 1619704913
-
- Medical Specialty Clinic/Center
- Jacksonville, FL
- NPI 1952551467
-
- Rehabilitation Clinic/Center
- Shalimar, FL
- NPI 1407382278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1770043531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932184",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311932184",
"telephone_number": "856-678-3484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 RIVERSIDE AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322024912",
"telephone_number": "904-579-2824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSAS",
"first_name": "MANUEL",
"middle_name": "VIADO",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-20",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT11841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.