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

Luis Rosero

Individual provider Physical Therapist · NPI 1063846202

Luis Rosero is a Physical Therapist in Private Practice in West Orange, New Jersey. Qualified in 2013, 13 years ago. Practices with Diagnostix Physical Therapy and Rehabilitation, a 7-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
13
Licensed in
NJ
In the registry since
2013
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Practice location Address checks out

769 Northfield Ave Ste 132
West Orange, NJ 07052-1198
Phone: (973) 669-3500
Fax: (973) 669-3444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01510700 (NJ)

Record details

NPI number1063846202
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 23, 2013
Last updated in NPPESAugust 23, 2013
Mailing address11 Eagle Rock Ave, East Hanover, NJ 07936-3167

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Diagnostix Physical Therapy And Rehabilitation — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in West Orange