Kristi M Rosado, PT, DPT
Individual provider Active NPI Physical Therapist · Little Elm, TX
NPI 1992428528 · NPPES record last updated Sep 20, 2022
Key facts
- NPI
- 1992428528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1221039 (TX)
- Practice address
- 400 Lobo LN
Little Elm, TX 75068-5218 - Phone
- (972) 947-9452
- Fax
- (469) 362-9836
- NPI assigned
- Sep 20, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
14 Alder Dr
South Berwick, ME 03908-2125
4118 Herdsman Dr
Krum, TX 76249-1556
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251121002969 | TX | Practitioner - Physical Therapist in Private Practice | 0547752008 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1221039 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matt Bonander LLC | Physical Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1221039 | TX | Yes |
Addresses
Primary practice location
400 Lobo LN
Little Elm, TX 75068-5218
Mailing address
400 Lobo LN
Little Elm, TX 75068-5218
Phone (972) 947-9452
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krosado@littleelmisd.net | Direct |
Other providers in Little Elm, TX
- Lauren Reynolds
- Celeste Rivera
- Rocky Shores Counseling and Consulting, PLLC
- Charles Rogers
- Justin Xavier Rojas
- Roseann Homehealth Care Ic
- Behnam Rostami
- David Franklin Rousey
- Jean Ruffner
- Iftikhar Saeed
All providers in Little Elm, TX · Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.