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

Mr. Randy Joe Rose, PT

Individual provider Physical Therapist · NPI 1962767624

Mr. Randy Joe Rose, PT is a Physical Therapist in Private Practice in New Orleans, Louisiana. Qualified in 1989, 37 years ago. Practices with City Park Physical Therapy LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
37
Licensed in
LA
In the registry since
2012
Specialties on file
10
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

5559 Canal Blvd
New Orleans, LA 70124-2745
Phone: (504) 235-6759
Fax: (504) 835-8276
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 02575R (LA)
Cardiopulmonary Physical Therapist Taxonomy 2251C2600X · Licence 02575R (LA)
Ergonomics Physical Therapist Taxonomy 2251E1200X · Licence 02575R (LA)
Clinical Electrophysiology Physical Therapist Taxonomy 2251E1300X · Licence 02575R (LA)
Geriatric Physical Therapist Taxonomy 2251G0304X · Licence 02575R (LA)
Hand Physical Therapist Taxonomy 2251H1200X · Licence 02575R (LA)
Human Factors Physical Therapist Taxonomy 2251H1300X · Licence 02575R (LA)
Neurology Physical Therapist Taxonomy 2251N0400X · Licence 02575R (LA)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 02575R (LA)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 02575R (LA)

Record details

NPI number1962767624
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJuly 9, 2012
Last updated in NPPESJuly 9, 2012

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice City Park Physical Therapy Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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