Individual provider Active NPI

Tanner Elizabeth Rosenblum, OTD, OTR/L

  • Occupational Therapist
  • Blue Ash, OH
National Provider Identifier
1043842040
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT010720 Issued in OH
Practice address
6100 Hagewa Dr
Blue Ash, OH 45242-6231
Phone
(513) 686-1720
NPI assigned
Feb 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 OT010720 OH Primary

Addresses

Primary practice location

6100 Hagewa Dr
Blue Ash, OH 45242-6231

Mailing address

9094 Peacock Way Unit 723
West Chester, OH 45069-0002
Phone (614) 545-8216

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rosenblumt@sycamoreschools.org Direct Sycamore Community Schools

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
OT010720OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center PastSince Feb 9, 2020 Accepting new patients
Sycamore Community Schools Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1043842040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9094 PEACOCK WAY UNIT 723",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450690002",
            "telephone_number": "614-545-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HAGEWA DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426231",
            "telephone_number": "513-686-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "TANNER",
        "middle_name": "ELIZABETH",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT010720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rosenblumt@sycamoreschools.org",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Sycamore Community Schools",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5959 Hagewa Drive",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.