Organization Active NPI

Rosette Physical Therapy, P.C

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1770148132
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ROSETTE PHYSICAL THERAPY, P.C
Practice address
6707 Springpark Ave Apt 6
Los Angeles, CA 90056-2305
Phone
(310) 872-0977
NPI assigned
May 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Dr. Amanda Jessica Rosette, PTNPI 1700050465
Title
Owner
Phone
(310) 872-0977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

6707 Springpark Ave Apt 6
Los Angeles, CA 90056-2305

Mailing address

6707 Springpark Ave Apt 6
Los Angeles, CA 90056-2305
Phone (310) 872-0977

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190708001026 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9234464629 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1770148132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 SPRINGPARK AVE APT 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900562305",
            "telephone_number": "310-872-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 SPRINGPARK AVE APT 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900562305",
            "telephone_number": "310-872-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSETTE PHYSICAL THERAPY, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "ROSETTE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-872-0977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.