Individual provider Active NPI

Carol Buddenberg Rosenau, PT

  • Physical Therapist
  • Blair, NE
National Provider Identifier
1922467422
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
724 Issued in NE
Practice address
1801 College View Dr
Blair, NE 68008-1251
Phone
(402) 533-2261
NPI assigned
Feb 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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 724 NE Primary

Addresses

Primary practice location

1801 College View Dr
Blair, NE 68008-1251

Mailing address

1801 College View Dr
Blair, NE 68008-1251
Phone (402) 533-2261

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
724NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blair Chiropractic Centre, LLC CurrentSince Sep 24, 2020 Accepting new patients

Locations

1729 Washington St
Ste B
Blair, NE 68008
Phone (402) 426-4443

Organizations & group practices 1

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": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1922467422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 COLLEGE VIEW DR",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081251",
            "telephone_number": "402-533-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 COLLEGE VIEW DR",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081251",
            "telephone_number": "402-533-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENAU",
        "first_name": "CAROL",
        "middle_name": "BUDDENBERG",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blair, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.