Individual provider Active NPI

Rosalie Carol Hafner, OTR/L,WMMT,MFRP

  • Occupational Therapist
  • Harbor Springs, MI
National Provider Identifier
1013294073
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201002818 Issued in MI
Practice address
150 W Main St
Harbor Springs, MI 49740-1423
Phone
(231) 838-0240
Fax
(231) 242-0809
NPI assigned
Nov 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201002818 MI Primary

Addresses

Primary practice location

150 W Main St
Harbor Springs, MI 49740-1423

Mailing address

276 Stags Run
Harbor Springs, MI 49740-9549
Phone (231) 526-7305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5201002818MIMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1013294073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 STAGS RUN",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409549",
            "telephone_number": "231-526-7305",
            "fax_number": "231-242-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W MAIN ST",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497401423",
            "telephone_number": "231-838-0240",
            "fax_number": "231-242-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFNER",
        "first_name": "ROSALIE",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "OTR/L,WMMT,MFRP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201002818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor Springs, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.