Stacey K Rosellon, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6188716 Issued in NY

Practice address

111 W Old Country Rd
Hicksville, NY 11801-4036

Phone

(516) 433-4570

NPI assigned

Dec 31, 2007

Last updated

Sep 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Columbia University College of Physicians and Surgeons, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Home Physical Therapy Solutions P.C.Group PAC ID 0941340053, 6 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Home Physical Therapy Solutions P.C.

  • Physical Therapist
  • Lynbrook, NY
  • NPI 1730415431
  Medicare reassignment Care Compare group NPD
• Bravo Occupational Therapy PC

  • Occupational Therapist
  • Hicksville, NY
  • NPI 1194448449

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1922283696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 MINEOLA BLVD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W OLD COUNTRY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014036",
            "telephone_number": "516-433-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSELLON",
        "first_name": "STACEY",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "6188716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline L Romero
• Paula Romulus
• Brianna Rosamilia, OTR/L
• Julie A. Rose, LCSW-R
• Dorothy Estrallia Roseberry
• Jordan Rosen
• Adam Miles Rosenberg, PA-C
• Ross Hartman, DPM, PLLC
• Helene Ross, LMHC
• Maria Elena Roth-Brown

• Physical Therapist in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.