Jeannie Marie Rosenbalm, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00002552 Issued in WA

Practice address

201 NE Park Plaza Dr
Suite 246
Vancouver, WA 98684-5808

Phone

(800) 336-6862

NPI assigned

Jun 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043416100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 SE RICE LN",
            "city": "AMITY",
            "state": "OR",
            "postal_code": "971012305",
            "telephone_number": "503-835-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NE PARK PLAZA DR",
            "address_2": "SUITE 246",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845808",
            "telephone_number": "800-336-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBALM",
        "first_name": "JEANNIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "983121",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00002552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Ann Rose, ARNP, PMHNP
• Maria Louise Rose
• Matthew Howard Rose, D.O.
• Sophia Rose, CB70109176
• Susan S. Rose, PHD, GCNS-BC, PMHNP
• Jesse Elliot Rosenbaum, DC
• Stephanie Rene Rosenbaum, CCMA
• April Joy Rosenberg, MSW, ASW
• Nevin M Rosenberg, D.C.
• Keren Rosenblum, MD

• Occupational Therapist in Vancouver, WA
• Providers in Vancouver, 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 8, 2007; 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.