Individual provider · Type 1 NPI
Jedd Louie Diango Rosales, RPT
Physical Therapy Clinic/Center · Ridgewood, NY
Practice location
5630 Myrtle Ave
Ridgewood, NY 11385-4736
Mailing address
8106 45th Ave
Elmhurst, NY 11373-3557
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Clinic/Center Primary | 261QP2000X | 053904 (NY) |
Physical Therapy Clinic/Center: 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 p…
2 other providers at this address
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About NPI 1205701323
Jedd Louie Diango Rosales, RPT's National Provider Identifier is 1205701323, issued on Oct 8, 2025. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in Ridgewood, NY. The record was last updated on Oct 8, 2025.