JEDD LOUIE DIANGO ROSALES RPT
NPI 1205701323
Clinic/Center - Physical Therapy in Ridgewood, NY

Active since October 08, 2025
5630 MYRTLE AVE, RIDGEWOOD, NY 11385(718) 400-7500 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jedd Louie Diango Rosales Rpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEDD LOUIE DIANGO ROSALES RPT (NPI 1205701323) is an individual physical therapy provider in Ridgewood, New York, licensed in New York (053904) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1205701323
Entity TypeIndividualMale
Primary Taxonomy261QP2000X
Provider Legal NameJEDD LOUIE DIANGO ROSALESCredential: RPT
Location Address5630 MYRTLE AVERidgewood, NY 11385-4736
Mailing Address8106 45th AveElmhurst, NY 11373-3557
Sole ProprietorYes
Enumeration DateOctober 8, 2025
NPPES CertifiedOctober 8, 2025
NPI 1205701323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in NY · 053904
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
5630 MYRTLE AVE, Ridgewood, NY 11385

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
5630 MYRTLE AVE
RIDGEWOOD, NY 11385
Physical Therapist
5630 MYRTLE AVE
RIDGEWOOD, NY 11385

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jedd Louie Rosales's NPI number?

The NPI number for Jedd Louie Rosales is 1205701323. It was assigned to this individual provider in the NPPES registry on October 8, 2025.

Where is Jedd Louie Rosales located?

Jedd Louie Rosales practices at 5630 Myrtle Ave, Ridgewood, NY 11385. The listed phone number is (718) 400-7500.

What is Jedd Louie Rosales's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Jedd Louie Rosales was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.