DR. NATHANIEL RYAN ROSENBAUM (DPT) – Physical Therapist, NPI 1740812684

DR. NATHANIEL RYAN ROSENBAUM (DPT) is a healthcare provider. based in Saint joseph, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 5501019470 (MI). The NPI Number for DR. NATHANIEL RYAN ROSENBAUM (DPT) is 1740812684

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. NATHANIEL RYAN ROSENBAUM (DPT)
NPI
1740812684
Phone
(269) 408-1990
Address
2800 NILES RD
Enumeration Date
9 February 2020
Last Update Date
9 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2694081990
Graduation Year
2019 (7 years ago)
PAC ID
3971993403
Group Practice PAC ID
4981935533
Professional Enrollment ID
I20211124000453
Address ID
MI490853317SA2800XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for DR. NATHANIEL RYAN ROSENBAUM (DPT)

  • 2800 NILES RD

    SAINT JOSEPH, MI 490853317

    Phone: (269) 408-1990

    Type: Location

  • 3255 STONEBRIDGE CT APT 5

    PORTAGE, MI 490244708

    Phone: (269) 369-2031

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-11-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211124000453IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes6,59284$0
97140Therapy procedure using manual technique, each 15 minutes2,41083$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care1,31781$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes46630$0
97162Evaluation for physical therapy, typically 30 minutes8566$0
View full utilization report →

Insurance plans in this area (ZIP 49085)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981935533View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI

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Frequently asked questions

What is the 10-digit NPI for DR. NATHANIEL RYAN ROSENBAUM (DPT)?
DR. NATHANIEL RYAN ROSENBAUM (DPT) — NPI 1740812684 — is the standard way to identify this listing.
Is DR. NATHANIEL RYAN ROSENBAUM (DPT) still practicing?
DR. NATHANIEL RYAN ROSENBAUM (DPT) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. NATHANIEL RYAN ROSENBAUM (DPT)?
For research purposes, treat DR. NATHANIEL RYAN ROSENBAUM (DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. NATHANIEL RYAN ROSENBAUM (DPT) based?
DR. NATHANIEL RYAN ROSENBAUM (DPT) is tied to Saint Joseph, Michigan in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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