Individual provider Active NPI

Rosemarie Hawley, PT

  • Physical Therapist
  • Jupiter, FL
National Provider Identifier
1780908798
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT12495 Issued in FL
Practice address
109 Pennock Landing Cir
Jupiter, FL 33458-4019
Phone
(561) 818-3978
NPI assigned
Mar 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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 PT12495 FL Primary

Addresses

Primary practice location

109 Pennock Landing Cir
Jupiter, FL 33458-4019

Mailing address

109 Pennock Landing Cir
Jupiter, FL 33458-4019
Phone (561) 818-3978

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101206000495 FL Practitioner - Physical Therapist in Private Practice 1355538125 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT12495FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Hawley Physical Therapy LLC Physical Therapist CurrentSince Sep 9, 2021 Accepting new patients
C.a.R.E. & Rehabilitation, LLC Physical Therapist Past Accepting new patients
Gina'S Physical Therapy, Inc Physical Therapist PastSince Jul 1, 2003 Accepting new patients

Organizations & group practices 3

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": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1780908798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 PENNOCK LANDING CIR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584019",
            "telephone_number": "561-818-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PENNOCK LANDING CIR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584019",
            "telephone_number": "561-818-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWLEY",
        "first_name": "ROSEMARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT12495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.