Active NPI
Meghann A. Rose
- Occupational Therapist
- Victor, NY
National Provider Identifier
1023259231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 013116
- Practice address
- 590 Fishers Station Dr Ste 130
Victor, NY 14564-9744 - Phone
- (585) 924-7207
- NPI assigned
- Mar 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 013116-1 | NY | |
| Occupational Therapist | 225X00000X | 013116 | NY | Primary |
Addresses
Primary practice location
590 Fishers Station Dr Ste 130
Victor, NY 14564-9744
Mailing address
7231 Hogan Ave
Lima, NY 14485-9467
Phone (585) 451-2781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30-0213081 | Other | NY | TAX ID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 013116-1 | NY | MD | Specialist |
| 013116 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daystar Formedically Fragile Children, Inc | Past | Accepting new patients | |
| Daystar for Medically Fragile Children, Inc | Past | Accepting new patients | |
| Western New York Speech-Language Pathology, OT, and PT Consultants | Specialist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Rochester, NY
- NPI 1508250267
-
- Child Physical Disabilities Respite Care
- Rochester, NY
- NPI 1376935957
-
- Early Intervention Provider Agency
- Victor, NY
- NPI 1386812550
Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668816000000",
"number": "1023259231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7231 HOGAN AVE",
"city": "LIMA",
"state": "NY",
"postal_code": "144859467",
"telephone_number": "585-451-2781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 FISHERS STATION DR STE 130",
"city": "VICTOR",
"state": "NY",
"postal_code": "145649744",
"telephone_number": "585-924-7207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "MEGHANN",
"middle_name": "A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-18",
"last_updated": "2022-11-19",
"certification_date": "2022-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "013116-1",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "013116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "30-0213081",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Victor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.