Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEDD LOUIE DIANGO ROSALES, RPT
Active Sole ProprietorJEDD LOUIE DIANGO ROSALES, RPT is a Physical Therapy Clinic healthcare provider located in RIDGEWOOD, New York. NPI 1205701323 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Clinic · RIDGEWOOD, NY
Registration Details
- NPI Number
- 1205701323
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 8, 2025 (0.80571540742983 yrs)
- Last Updated
- Oct 8, 2025
- License
-
053904 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5630 MYRTLE AVERIDGEWOOD, NY, 113854736Browse NY providers · Browse ZIP 11385
- Phone
- 7184007500
- Primary Specialty
-
Physical Therapy Clinic
261QP2000X
Other Physical Therapy Clinic Providers in RIDGEWOOD, NY
| Name | Credential | NPI |
|---|---|---|
| OLIVER CAYETANO | — | 1942672696 |
| ALEXANDER GUILLERA | — | 1598137267 |
| DEXTER BONGATO | — | 1245602853 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.