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

Sherrice Broussard Rose, PTDPT

Individual provider Orthopedic Physical Therapist · NPI 1407929359

Sherrice Broussard Rose, PTDPT is a Physical Therapist in Private Practice in Tampa, Florida. Graduated from Emory University School of Medicine in 2004, 22 years ago. Practices with Potentia Therapeutics, LLC, an 18-clinician group. Licensed in Florida.

Years since qualifying
22
Trained at
Emory University School of Medicine
Licensed in
FL
In the registry since
2006
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Practice location Address checks out

2307 S Dale Mabry Hwy Ste F
Tampa, FL 33629-6322
Phone: (813) 374-9508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT26698 (FL)

Record details

NPI number1407929359
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTDPT
Sole proprietorNo
NPI enumeratedNovember 16, 2006
Last updated in NPPESMarch 31, 2014

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Potentia Therapeutics, Llc — 18 clinicians
Accepts Medicare assignment Not indicated

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