Brooke Nicole Rosas, PTA
Physical Therapy Assistant in Hapeville, GA. Individual provider (NPI-1).
NPI number1104697473
StatusActive
Last updated in NPPESJan 15, 2024
Details
- NPI
- 1104697473
- Entity type
- Individual (NPI-1)
- Name
- Brooke Nicole Rosas
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2024
- Certification date
- Jan 15, 2024
- Last updated
- Jan 15, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA003710 | GA | Yes |
Practice location
747 Virginia Ave Ste 200Hapeville, GA 30354-1915
Phone 404-565-2667
Mailing address
1800 Pecan Dr SwAtlanta, GA 30315-6318
Phone 770-895-3122
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Other Physical Therapy Assistant providers in Hapeville, GA
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