Vanessa Roos PM&R LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

VANESSA ROOS PM&R LLC

Practice address

3372 Laurens Rd
Greenville, SC 29607-5236

Phone

(864) 537-4600

NPI assigned

Jun 23, 2023

Last updated

Jun 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vanessa Roos, MDNPI 1740711787

Title

Director

Phone

(843) 822-3130

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vanessa Roos, MD

  • Physical Medicine & Rehabilitation Physician
  • Greenville, SC
  • NPI 1740711787
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1902582042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9859 ANDERSON RD",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296739776",
            "telephone_number": "843-822-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3372 LAURENS RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075236",
            "telephone_number": "864-537-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA ROOS PM&R LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "ROOS",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-822-3130",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yinet Vanderplow, RBT
• Katelyn Vandevander
• Marianne Elizabeth Vandiver, PHARMD
• Sheridan Vandiver, RBT
• Gelmi Vanegas, CRNP
• Sherry Vanfossan, LISW-CP
• Maihli Vang
• Mary Evanne Vang, CRNA
• Harriet McMurria Vanhale, MD
• Philip Corby Vanhale, M.D.

• Physical Medicine & Rehabilitation Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Physical Medicine & Rehabilitation Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.