Individual provider Active NPI

Robin Ronald Gaston Rosin, PT

  • Physical Therapist
  • Las Cruces, NM
National Provider Identifier
1871893354
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3827 Issued in NM
Practice address
1955 S Telshor Blvd
Apt 44
Las Cruces, NM 88011-4863
Phone
(575) 621-1181
NPI assigned
Oct 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3827 NM Primary

Addresses

Primary practice location

1955 S Telshor Blvd
Apt 44
Las Cruces, NM 88011-4863

Mailing address

1955 S Telshor Blvd
Apt 44
Las Cruces, NM 88011-4863
Phone (575) 621-1181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211129002259 NM Practitioner - Physical Therapist in Private Practice 1951791383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Function Therapy Specialists IncGroup PAC ID 2860898111, 7 clinicians

Practice addresses (Care Compare)

2550 Samaritan Dr
Suite 101B
Las Cruces, NM 88001-1170
Phone (575) 592-2088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3827NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Primary Care, LLC Current Accepting new patients
Function Therapy Specialists, Inc Physical Therapist CurrentSince Nov 22, 2021 Accepting new patients

Locations

2550 Samaritan Dr
Ste 101B
Las Cruces, NM 88001
Phone (575) 265-0222

2550 Samaritan Dr
Ste 101
Las Cruces, NM 88001
Phone (575) 265-0222

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1871893354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 S TELSHOR BLVD",
            "address_2": "APT 44",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114863",
            "telephone_number": "575-621-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 S TELSHOR BLVD",
            "address_2": "APT 44",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114863",
            "telephone_number": "575-621-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSIN",
        "first_name": "ROBIN RONALD",
        "middle_name": "GASTON",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.