MEDICARE: MRS. LINDSEY MARIEBETH ROSAL DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT8089	MS

General Provider Information

NPI Number	:	1952699316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDSEY MARIEBETH ROSAL DPT

Provider Business Mailing Address
First Line	:	116 E BLOOMINGDALE AVE
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-8101
Country	:	US
Telephone Number	:	813-655-3342
Fax Number	:	813-413-8604

Provider Business Practice Location Address
First Line	:	13219 HUGH SEYMOUR LN
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-2288
Country	:	US
Telephone Number	:	228-334-5035
Fax Number	:	844-270-2749

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2011
Last Update Date	:	09/24/2025

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