Healthcare Provider Details

I. General information

NPI: 1447686449
Provider Name (Legal Business Name): ROSIPAL INSTITUTE FOR PELVIC THERAPY SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2013
Last Update Date: 01/12/2022
Certification Date: 01/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 MAPLESHADE LN STE 110
PLANO TX
75093-0032
US

IV. Provider business mailing address

4200 MAPLESHADE LN STE 110
PLANO TX
75093-0032
US

V. Phone/Fax

Practice location:
  • Phone: 972-735-0920
  • Fax: 972-735-0919
Mailing address:
  • Phone: 972-735-0920
  • Fax: 972-735-0919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. KRISTI ROSIPAL
Title or Position: CHIEF EXECUTIVE MEMBER
Credential: PT, DPT
Phone: 972-735-0920