Active NPI
Wanda E Rosado, PT
- Physical Therapist
- Ceiba, PR
National Provider Identifier
1770615726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 969
- Practice address
- 11401 Costa Esmeralda
Ceiba, PR 00735-3660 - Phone
- (939) 642-4750
- NPI assigned
- Mar 12, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 969 | PR | Primary |
Addresses
Primary practice location
11401 Costa Esmeralda
Ceiba, PR 00735-3660
Mailing address
11401 Costa Esmeralda
Ceiba, PR 00735-3660
Phone (939) 642-4750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 969 | Other | PR | PT LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 969 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770615726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11401 COSTA ESMERALDA",
"city": "CEIBA",
"state": "PR",
"postal_code": "007353660",
"telephone_number": "939-642-4750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11401 COSTA ESMERALDA",
"city": "CEIBA",
"state": "PR",
"postal_code": "007353660",
"telephone_number": "939-642-4750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSADO",
"first_name": "WANDA",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "969",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE NUMBER",
"identifier": "969",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ceiba, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.