Active NPI
Caryn Rossi
- Physical Therapist
- Geneva, IL
National Provider Identifier
1861795361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2000 W State St Ste F
Geneva, IL 60134-3696 - Phone
- (708) 492-5720
- NPI assigned
- Dec 6, 2010
- 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 | IL | Primary |
Addresses
Primary practice location
2000 W State St Ste F
Geneva, IL 60134-3696
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-1980
Other practice location 1
1111 Leffingwell Ave NE
Grand Rapids, MI 49525-6406
Phone (616) 459-7101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO1324148 | Other | MI | MEDICARE RR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1861795361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 W STATE ST STE F",
"city": "GENEVA",
"state": "IL",
"postal_code": "601343696",
"telephone_number": "708-492-5720"
}
],
"practiceLocations": [
{
"address_1": "1111 Leffingwell Ave NE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495256406",
"country_code": "US",
"telephone_number": "616-459-7101",
"fax_number": "616-954-6483",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSSI",
"first_name": "CARYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-06",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "PO1324148",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.