Active NPI
Rosealiza Wan Zaid, DPT
- Physical Therapist
- Brockton, MA
National Provider Identifier
1770976011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21562
- Practice address
- 425 Pleasant St Ste 202
Brockton, MA 02301-2533 - Phone
- (508) 640-5000
- NPI assigned
- Mar 11, 2015
- Reactivated
- Feb 20, 2025
- Last updated
- Feb 20, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 21562 | MA | |
| Physical Therapist | 225100000X | 21562 | MA | Primary |
Addresses
Primary practice location
425 Pleasant St Ste 202
Brockton, MA 02301-2533
Mailing address
425 Pleasant St Ste 202
Brockton, MA 02301-2533
Phone (508) 640-5000
Other practice location 1
1 Compass Way
Suite 204
East Bridgewater, MA 02333-1465
Phone (508) 350-2920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21562 | MA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chart Rehabilitation of Hawaii Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Hingham, MA
- NPI 1366414211
-
- Physical Therapist
- Honolulu, HI
- NPI 1700991957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1770976011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 PLEASANT ST STE 202",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012533",
"telephone_number": "508-640-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 PLEASANT ST STE 202",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012533",
"telephone_number": "508-640-5000"
}
],
"practiceLocations": [
{
"address_1": "1 Compass Way",
"address_2": "Suite 204",
"address_purpose": "LOCATION",
"city": "East Bridgewater",
"state": "MA",
"postal_code": "023331465",
"country_code": "US",
"telephone_number": "508-350-2920",
"fax_number": "508-350-2923",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAN ZAID",
"first_name": "ROSEALIZA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-11",
"last_updated": "2025-02-20",
"certification_date": "2020-10-15",
"deactivation_date": "2025-02-11",
"reactivation_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MA",
"license": "21562",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "21562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.