Active NPI
Sheryll Lynn Rosario, P.T.
- Physical Therapist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3715
- Practice address
- One Center Court Ste110
Portland, OR 97227-2104 - Phone
- (503) 797-9585
- Fax
- (503) 797-0650
- NPI assigned
- Jun 18, 2007
- 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 | 3715 | OR | Primary |
Addresses
Primary practice location
One Center Court Ste110
Portland, OR 97227-2104
Mailing address
PO Box 5571
Portland, OR 97228-5571
Phone (503) 797-9585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3715 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| J and D Physical Therapy Services | Physical Therapist | Past | Accepting new patients |
| Rogue Valley Physicians PC | Past | Accepting new patients |
Locations
12345 SW Horizon Blvd
Ste 57
Beaverton, OR 97007
Phone (503) 216-8820
1627 Woods Ct
Hood River, OR 97031
Phone (541) 386-9511
5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405
5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Hematology & Oncology Physician
- Portland, OR
- NPI 1811211220
-
- Physical Therapy Clinic/Center
- Portland, OR
- NPI 1134299951
Physical Therapist
-
- Primary Care Clinic/Center
- Medford, OR
- NPI 1114190121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811192131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5571",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972285571",
"telephone_number": "503-797-9585",
"fax_number": "503-797-0650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE CENTER COURT STE110",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972272104",
"telephone_number": "503-797-9585",
"fax_number": "503-797-0650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO",
"first_name": "SHERYLL",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "3715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.