Marisa Rose, MS, PT, SCS, ATC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

0214651 Issued in NY

Practice address

2 5TH Ave
Apt 11R
New York, NY 10011-8838

Phone

(917) 324-5358

Fax

(212) 656-1874

NPI assigned

Jun 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Duke University School of Medicine, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Hand Physical Therapy Nyc OT PT

  • Occupational Therapist
  • New York, NY
  • NPI 1962169037

  Orthopedic

  Medicare reassignment NPD
• Marisa Dadamo Physical Therapy

  • Orthopedic Physical Therapist
  • New York, NY
  • NPI 1205273752
  NPD (past) Authorized official
• Dash Physical Therapy PC

  • Physical Therapist
  • New York, NY
  • NPI 1801239330
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1821290578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 5TH AVE",
            "address_2": "APT 11R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118838",
            "telephone_number": "917-324-5358",
            "fax_number": "212-656-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 5TH AVE",
            "address_2": "APT 11R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118838",
            "telephone_number": "917-324-5358",
            "fax_number": "212-656-1874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 6th Ave # 1",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100118424",
            "country_code": "US",
            "telephone_number": "917-324-5358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "MARISA",
        "name_prefix": "Ms.",
        "credential": "MS, PT, SCS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "021465",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "0214651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Rose
• Kathleen Rose, LCSW
• Kenneth M Rose Sr., MD
• Kiley M Rose, LMSW
• Lauren Elizabeth Rose, M.A. CCC-SLP; TSHH
• Panumas Rose, RN
• Patricia Rose, LPN
• Rachael Elkin Rose, M.S. CCC-SLP
• Robert Richter Juliano Rose, PT
• Samantha Rose, NP

• Orthopedic Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.

Verify at the official NPI Registry.