Individual provider Active NPI

Manuel Viado Rosas, P.T.

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1770043531
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT11841 Issued in FL
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

Updated by the provider on Apr 2, 2025

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 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

Enrollment IDStateProvider typePAC IDDetails
I20190410002519 FL Practitioner - Physical Therapist in Private Practice 3971844499 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
H2 Rehabilitation Services of Florida LLC CurrentSince Apr 1, 2025 Accepting new patients
H2 Rehabilitation Services of Florida LLC CurrentSince Apr 1, 2025 Accepting new patients
Burke Collins Therapy, Inc Physical Therapist CurrentSince Sep 1, 2025 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 PastSince Apr 3, 2019 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.

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.

Verify at the official NPI Registry.