Individual provider Active NPI

Sydney Roset

  • Physical Medicine & Rehabilitation Physician
  • Little Rock, AR
National Provider Identifier
1972223196
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5204 Issued in AR
Practice address
10825 Kanis Rd
Little Rock, AR 72211-3804
Phone
(501) 420-3884
Fax
(501) 429-7480
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5204 AR Primary

Addresses

Primary practice location

10825 Kanis Rd
Little Rock, AR 72211-3804

Mailing address

304 Rice St
Little Rock, AR 72205-6141
Phone (501) 352-8022

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.arkansasapelvichealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221006000292 AR Practitioner - Physical Therapist in Private Practice 2668858192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Pelvic Health PLLCGroup PAC ID 6002235421, 15 clinicians

Practice addresses (Care Compare)

10825 Kanis Rd
Little Rock, AR 72211-3802
Phone (501) 420-3884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5204ARMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Pelvic Health PLLC CurrentSince Sep 6, 2022 Accepting new patients

Locations

10825 Kanis Rd
Ste 300
Little Rock, AR 72211
Phone (501) 420-3884

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": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1972223196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 RICE ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056141",
            "telephone_number": "501-352-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10825 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113804",
            "telephone_number": "501-420-3884",
            "fax_number": "501-429-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSET",
        "first_name": "SYDNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AR",
            "license": "5204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.arkansasapelvichealth.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "10825 Kanis Rd",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722113804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.