Individual provider Active NPI

Mairead Elizabeth Rosa

  • Chiropractor
  • Stamford, CT
National Provider Identifier
1881490464
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2348 Issued in CT
Practice address
66 Glenbrook Rd Ste 100
Stamford, CT 06902-8402
Phone
(203) 978-1100
Fax
(203) 967-7226
NPI assigned
Feb 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2348 CT Primary

Addresses

Primary practice location

66 Glenbrook Rd Ste 100
Stamford, CT 06902-8402

Mailing address

52 Shearer Rd
Washington, CT 06793-1009
Phone (860) 866-6154

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250710001800 CT Practitioner - Chiropractic 0648784629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmed PT of Connecticut PLLCGroup PAC ID 5395134852, 11 clinicians

Practice addresses (Care Compare)

4775 Main St
Bridgeport, CT 06606-1877
Phone (475) 273-1620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2348CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Berglund Chiropractic & Wellness, LLC Chiropractor CurrentSince Mar 11, 2025 Accepting new patients
Sportsmed PT of Connecticut PLLC Chiropractor CurrentSince Jul 7, 2025 Accepting new patients

Locations

4775 Main St
Bridgeport, CT 06606
Phone (203) 371-0076

499 Westport Ave
#B
Norwalk, CT 06851
Phone (475) 470-0400

66 Glenbrook Rd
Ste 100
Stamford, CT 06902
Phone (203) 978-1100

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798

Organizations & group practices 2

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": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1881490464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 SHEARER RD",
            "city": "WASHINGTON",
            "state": "CT",
            "postal_code": "067931009",
            "telephone_number": "860-866-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 GLENBROOK RD STE 100",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069028402",
            "telephone_number": "203-978-1100",
            "fax_number": "203-967-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "MAIREAD",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.