Rooted Rehabilitation LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ROOTED REHABILITATION LLC

Practice address

849 E Victoria St Unit 609
Carson, CA 90746-1558

Phone

(310) 753-7500

NPI assigned

Aug 16, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Calvin Divinity II, DPT

Title

Ceo

Phone

(310) 753-7500

Specialties & licenses 1

Addresses

Other names 1

• Rooted Rehabilitation Doing business as

Electronic endpoints 1

Practitioners 1

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

• Marley H Lisboa, OT

  • Occupational Therapist
  • Long Beach, CA
  • NPI 1689100877
  NPD

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

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597536000000",
    "number": "1790396372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 E VICTORIA ST UNIT 609",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907461558",
            "telephone_number": "310-753-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 E VICTORIA ST UNIT 609",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907461558",
            "telephone_number": "310-753-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A",
        "authorized_official_last_name": "DIVINITY",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-753-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "therapy@tootedrehabilitation.com",
            "affiliation": "N",
            "endpointDescription": "Secure private email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "849 E Victoria St Unit 609",
            "city": "Carson",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907461558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rooted Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Rogong, NP
• Joy Benavente Rojas
• Ana Cecilia Romero
• Carlos Romero Jr.
• Kimberly Nataly Romero
• Andrea Rosen, PSY.D
• Rosewood Adult Residential Facilities,Inc.
• Karla Rugamas, PA
• Marilyn Monique Ruiz
• Chanta S Rush

• Home Health Agency in Carson, CA
• Providers in Carson, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.