Individual provider Active NPI

Lori Ann Rosenbaum

  • Physical Therapist
  • Manorville, NY
National Provider Identifier
1982622296
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015605-1 Issued in NY
Practice address
5 Tee View CT
Manorville, NY 11949-2939
Phone
(631) 874-3032
Fax
(631) 874-4105
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 015605-1 NY Primary

Addresses

Primary practice location

5 Tee View CT
Manorville, NY 11949-2939

Mailing address

229 N Forest Ave
Rockville Centre, NY 11570-3009
Phone (516) 536-1715

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050416000075 NY Practitioner - Physical Therapist in Private Practice 8325085764 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matthew Colucci P.T.,P.C.Group PAC ID 9133019771, 5 clinicians

Practice addresses (Care Compare)

15 Dixie LN
East Islip, NY 11730-2518
Phone (516) 380-8450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015605-1NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Colucci P.T.,P.C. Physical Therapist CurrentSince Nov 15, 2013 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince Oct 23, 2016 Accepting new patients
We Care Physical Therapy, P.C. Physical Therapist CurrentSince May 29, 2009 Accepting new patients

Locations

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

Organizations & group practices 3

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982622296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N FOREST AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703009",
            "telephone_number": "516-536-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 TEE VIEW CT",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119492939",
            "telephone_number": "631-874-3032",
            "fax_number": "631-874-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "LORI",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015605-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manorville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.