Active NPI
Deborah J Rossato, PT
- Physical Therapist
- Crystal Falls, MI
National Provider Identifier
1962661678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501003052
- Practice address
- 1523 West US 2
Iron County Medical Care Facility
Crystal Falls, MI 49920 - Phone
- (906) 874-1424
- NPI assigned
- Jun 6, 2008
- Last updated
- Jun 6, 2008
- Sex
- Female
- 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 | 5501003052 | MI | Primary |
Addresses
Primary practice location
1523 West US 2
Iron County Medical Care Facility
Crystal Falls, MI 49920
Mailing address
330 Tall Pines Dr
Iron Mountain, MI 49801-6659
Phone (906) 779-5375
Other names 1
- Deborah J Broden
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501003052 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212710400000",
"number": "1962661678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 TALL PINES DR",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498016659",
"telephone_number": "906-779-5375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1523 WEST US 2",
"address_2": "IRON COUNTY MEDICAL CARE FACILITY",
"city": "CRYSTAL FALLS",
"state": "MI",
"postal_code": "49920",
"telephone_number": "906-874-1424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSATO",
"first_name": "DEBORAH",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-06",
"last_updated": "2008-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501003052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "BRODEN",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Crystal Falls, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.