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

Jedd Louie Diango Rosales, RPT

Individual provider Physical Therapy Clinic/Center · NPI 1205701323

Jedd Louie Diango Rosales, RPT is a Physical Therapy Clinic/Center in Ridgewood, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

5630 Myrtle Ave
Ridgewood, NY 11385-4736
Phone: (718) 400-7500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 053904 (NY)

Record details

NPI number1205701323
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorYes
NPI enumeratedOctober 8, 2025
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

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