Active NPI
Jusmaine Ann Rosales, PT, DPT
- Physical Therapist
- Gloversville, NY
National Provider Identifier
1780425868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 045322-01
- Practice address
- 847 County Highway 122
Gloversville, NY 12078-6413 - Phone
- (518) 773-3400
- NPI assigned
- Jun 4, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 045322-01 | NY | Primary |
Addresses
Primary practice location
847 County Highway 122
Gloversville, NY 12078-6413
Mailing address
31 S William St Apt 7
Johnstown, NY 12095-2339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
445 Park Ave
Brooklyn, NY 11205-2735
Phone (718) 963-0800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045322-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parcare Community Health Network Inc | Current | Accepting new patients | |
| New York Medical & Diagnostic Center Inc | Physical Therapist | Current | Accepting new patients |
| Parcare Community Health Network Inc | Current | Accepting new patients |
Locations
445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320
8046 Kew Gardens Rd
Kew Gardens, NY 11415
Phone (718) 261-1000
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1730454083
-
- Family Medicine Physician
- Kew Gardens, NY
- NPI 1790771889
Physical Therapist
-
- Physical Therapy Clinic/Center
- Dewitt, NY
- NPI 1346530169
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1942795943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1780425868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 S WILLIAM ST APT 7",
"city": "JOHNSTOWN",
"state": "NY",
"postal_code": "120952339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "847 COUNTY HIGHWAY 122",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120786413",
"telephone_number": "518-773-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSALES",
"first_name": "JUSMAINE ANN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-04",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "045322-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gloversville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.