Jennifer J. Derosa

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00004111 Issued in WA

Practice address

526 Yale Ave N
Seattle, WA 98109-5542

Phone

(206) 403-0190

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Adaptable for Life

  • Occupational Therapist
  • Seattle, WA
  • NPI 1598959785
  NPD (past) Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1043228299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BROADWAY E",
            "address_2": "BOX 20481",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981025793",
            "telephone_number": "206-403-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 YALE AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095542",
            "telephone_number": "206-403-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSA",
        "first_name": "JENNIFER",
        "middle_name": "J.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00004111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermatology Associates PLLC
• Annalie Virginia Dern, LMT
• Rachael Dern, LMP
• Scott Christopher Deroo, MD
• Evelyn Elizabeth Derooy, L.M.P.
• Julia Deroshia
• Stephanie Isabelle Julie Derouet
• Antonia Derramas, LMHCA
• Derrick Consulting PLLC
• Ellen Lyman Thomason Derrick, MD

• Occupational Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.