Rosa Panos, PT, AP, DIPL O.M.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 22203 Issued in FL

Practice address

397 Palm Coast Pkwy SW Unit 5
Palm Coast, FL 32137-4777

Phone

(386) 447-0610

Fax

(386) 447-0670

NPI assigned

Jun 8, 2006

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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Specialists LLCGroup PAC ID 9739197872, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Physical Therapy Specialists, LLC

  • Orthopedic Physical Therapist
  • Palm Coast, FL
  • NPI 1699715599
  Medicare reassignment Care Compare group NPD Authorized official
• RP Acupuncture, Inc

  • Acupuncturist
  • Palm Coast, FL
  • NPI 1780176172
  NPD Authorized official

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1871534339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 S CENTRAL AVE",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321363723",
            "telephone_number": "386-447-0610",
            "fax_number": "386-447-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 PALM COAST PKWY SW UNIT 5",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374777",
            "telephone_number": "386-447-0610",
            "fax_number": "386-447-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANOS",
        "first_name": "ROSA",
        "credential": "PT, AP, DIPL O.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 22203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Tree Podiatry PLLC (Palm Tree Podiatry)
• Joseph Palmer, DO
• Natalie M Palmer
• Pampered Parents, Alf, Inc. (Pampered Parents, ALF)
• Angelica Paneto
• Kunal Singh Panwar, DO
• Olivia Papa
• Paradise Emergency Physicians
• Eun Young Park, PHARMD
• George Allen Parker, PHARMD

• Physical Therapist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.