Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shivaz Rose, DPT

Individual provider Physical Therapist · NPI 1861037269

Dr. Shivaz Rose, DPT is a Physical Therapist in Ridgewood, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

153 Prospect St
Ridgewood, NJ 07450-4405
Phone: (201) 819-4005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1861037269
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedNovember 10, 2019
Last updated in NPPESNovember 10, 2019
Mailing address153 Prospect St, Ridgewood, NJ 07450-4405

Other providers in Ridgewood