Active NPI
Nathaniel R Rosene, PT
- Physical Therapist
- Crystal, MN
National Provider Identifier
1891000212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8897
- Practice address
- 5700 Bottineau Blvd Ste 200
Crystal, MN 55429-3184 - Phone
- (763) 535-7607
- Fax
- (763) 535-7649
- NPI assigned
- Aug 10, 2010
- Sex
- Male
- 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 | 8897 | MN | Primary |
Addresses
Primary practice location
5700 Bottineau Blvd Ste 200
Crystal, MN 55429-3184
Mailing address
5700 Bottineau Blvd Ste 200
Suite 200
Crystal, MN 55429-3184
Phone (763) 535-7607
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1891000212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 BOTTINEAU BLVD STE 200",
"address_2": "SUITE 200",
"city": "CRYSTAL",
"state": "MN",
"postal_code": "554293184",
"telephone_number": "763-535-7607",
"fax_number": "763-535-7649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 BOTTINEAU BLVD STE 200",
"city": "CRYSTAL",
"state": "MN",
"postal_code": "554293184",
"telephone_number": "763-535-7607",
"fax_number": "763-535-7649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENE",
"first_name": "NATHANIEL",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-10",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "8897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.