Active NPI
Jenny Y. Coscarelli
- Physical Therapist
- Roseville, CA
National Provider Identifier
1942457437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11742
- Practice address
- 707 Sunrise Ave
Roseville, CA 95661-4524 - Phone
- (916) 610-0774
- NPI assigned
- Aug 26, 2008
- Last updated
- Sep 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 11742 | CA | Primary |
Addresses
Primary practice location
707 Sunrise Ave
Roseville, CA 95661-4524
Mailing address
805 Cottonwood Dr
Roseville, CA 95661-4719
Phone (510) 378-5656
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1942457437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 COTTONWOOD DR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614719",
"telephone_number": "510-378-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 SUNRISE AVE",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614524",
"telephone_number": "916-610-0774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSCARELLI",
"first_name": "JENNY",
"middle_name": "Y.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-26",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "11742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
- Celina Cortes-Salas
- Christine Jonalyn Dela Cruz Cortez, RN
- Heather Rene Cortez, LCSW
- Jose Antonio Cortez III
- Lilia Cortez, RN PHN
- Patricia Michelle Cossey
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- Costco Wholesale Corporation (Costco Pharmacy # 1702)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.