MEDICARE: GREGORY ROSE PHYSICAL THERAPIST

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	PT 18323	FL

General Provider Information

NPI Number	:	1306054424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY ROSE PHYSICAL THERAPIST

Provider Business Mailing Address
First Line	:	305 N SEQUOIA DR
Second Line	:
City	:	WEST PALM BCH
State	:	FL
Zip	:	33409-3625
Country	:	US
Telephone Number	:	561-312-3334
Fax Number	:

Provider Business Practice Location Address
First Line	:	1191 E NEWPORT CENTER DR
Second Line	:	STE PH-J
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-7715
Country	:	US
Telephone Number	:	561-312-3334
Fax Number	:

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

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1467677757 — KJERSTEN JULIA FRERICHS OTR
Practice Location Address:

1191 E NEWPORT CENTER DR , SUITE PH-J
DEERFIELD BEACH, FL
33442-7715

Practice Phone: 954-379-1066
Practice Fax:

1982816096 — MR. JAMES F HILL PTA
Practice Location Address:

1191 E NEWPORT CENTER DR
DEERFIELD BEACH, FL
33442-7715

Practice Phone: 954-379-1066
Practice Fax: 877-796-7890

1336354323 — MRS. DEBORAH LYNN STOLGITIS PTA
Practice Location Address:

1191 E NEWPORT CENTER DR
DEERFIELD BEACH, FL
33442-7715

Practice Phone: 954-421-8361
Practice Fax:

1558570663 — MISS GAITRI PERSAUD PTA
Practice Location Address:

1191 E NEWPORT CENTER DR , PENT HOUSE J
DEERFIELD BEACH, FL
33442-7715

Practice Phone: 954-379-1066
Practice Fax:

1942467618 — PAMELA FASHAW
Practice Location Address:

1191 E NEWPORT CENTER DR , SUITE PH-J
DEERFIELD BEACH, FL
33442-7715

Practice Phone: 954-379-1066
Practice Fax:

1316295785 — MARIBETH BRUCAL
Practice Location Address:

1191 E NEWPORT CENTER DR STE PH-J
DEERFIELD BEACH, FL
33442-7715

Practice Phone: 954-379-1066
Practice Fax:

Directions to “ GREGORY ROSE PHYSICAL THERAPIST” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.