SHERRICE BROUSSARD ROSE PT DPT
NPI 1407929359
Physical Therapist - Orthopedic in Tampa, FL

Q: What is Sherrice Rose's NPI number?

The NPI number for Sherrice Rose is 1407929359. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Q: What is Sherrice Rose's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Sherrice Rose was last updated on March 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.

Active since November 16, 2006

2307 S DALE MABRY HWY STE F, TAMPA, FL 33629(813) 374-9508 Get Directions Write a Review

NPPES record last updated: March 31, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sherrice Broussard Rose Pt Dpt NPPES

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

SHERRICE BROUSSARD ROSE PT DPT (NPI 1407929359) is an individual orthopedic provider in Tampa, Florida, licensed in Florida (PT26698) and active in the NPI registry since November 2006. She is a graduate of Emory University School Of Medicine (2004).

NPPES Registry Identity

NPI1407929359

Entity TypeIndividualFemale

Primary Taxonomy2251X0800X

Provider Legal NameSHERRICE BROUSSARD ROSECredential: PT DPT

Location Address2307 S DALE MABRY HWY STE FTampa, FL 33629-6322

Mailing Address2307 S Dale Mabry Hwy Ste FTampa, FL 33629-6322 · (813) 374-9508

Phone(813) 374-9508

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2004

Enumeration DateNovember 16, 2006

Last NPPES UpdateMarch 31, 2014

✔ NPI 1407929359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in FL · PT26698

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

2307 S DALE MABRY HWY STE F, Tampa, FL 33629

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Other Identifiers 1

Medicare PIN65BBDFCGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sherrice Broussard Rose Pt Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305871526

PECOS Enrollment IDI20120524000243

Other Providers at the Same Location NPPES 6

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

POTENTIA THERAPEUTICS, LLC

Physical Therapist