Individual provider Active NPI

Brandon Rosi, PT, DPT, CSCS

  • Physical Therapist
  • Bermuda Dunes, CA
National Provider Identifier
1851832588
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
292860 Issued in CA
Practice address
78078 Country Club Dr Ste 205
Bermuda Dunes, CA 92203-8175
Phone
(760) 345-9934
NPI assigned
Mar 14, 2017
Last updated
Mar 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 292860 CA Primary
Physical Therapist 225100000X 4869 NM
Physical Therapist 225100000X 016573 OH

Addresses

Primary practice location

78078 Country Club Dr Ste 205
Bermuda Dunes, CA 92203-8175

Mailing address

78078 Country Club Dr Ste 205
Bermuda Dunes, CA 92203-8175

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190723002831 CA Practitioner - Physical Therapist in Private Practice 0042543100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosi Physiotherapy Inc.Group PAC ID 5698008753, 2 clinicians

Practice addresses (Care Compare)

71843 Hwy 111
Suite C
Rancho Mirage, CA 92270-4418
Phone (760) 861-2624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
292860CAMDLicensed Vocational Nurse
4869NMMDPhysical Therapist
016573OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosi Physiotherapy Inc. Physical Therapist CurrentSince Apr 27, 2017 Accepting new patients

Locations

79405 Highway 111
Ste 9214
La Quinta, CA 92253
Phone (760) 861-2624

71843 Highway 111
Ste C
Rancho Mirage, CA 92270
Phone (760) 636-4365

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1851832588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78078 COUNTRY CLUB DR STE 205",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922038175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78078 COUNTRY CLUB DR STE 205",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922038175",
            "telephone_number": "760-345-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSI",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292860",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4869",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "016573",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bermuda Dunes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.