Individual provider Active NPI

Deborah J Rossato, PT

  • Physical Therapist
  • Crystal Falls, MI
National Provider Identifier
1962661678
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501003052 Issued in MI
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, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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 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 Former name

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

LicenseStateTypeSpecialty
5501003052MIMDPhysical 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.

Verify at the official NPI Registry.