Rosellen Becker Ryals, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT0000003409 Issued in TN

Practice address

401 E Main St Suite 5
Johnson City, TN 37601

Phone

(423) 722-2062

Fax

(423) 722-2063

NPI assigned

Oct 25, 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

Other names 1

• Rosellen Marie Ryals Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053496570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 LEE CARTER DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013096",
            "telephone_number": "423-282-0827",
            "fax_number": "423-722-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E MAIN ST SUITE 5",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37601",
            "telephone_number": "423-722-2062",
            "fax_number": "423-722-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYALS",
        "first_name": "ROSELLEN",
        "middle_name": "BECKER",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT0000003409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSELLEN",
            "last_name": "RYALS",
            "middle_name": "MARIE",
            "credential": "OTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joshua Russell, RRT
• Ladon W Russell, CRNA
• Connie T Rutledge, NP
• Rxmdcare LLC
• Jimmie J Ryals, FNP
• Donna M Ryan-Seaver, CRNA
• Alexis Brooke Ryans
• Nadia Sabri, MD
• Timbra D Sackie, BS
• Syed Madeeha Sadiq, DO

• Occupational Therapist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Occupational Therapist in Tennessee

• 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.