Individual provider Active NPI

Rose Laure Louis Resius

  • Occupational Therapy Assistant
  • Lantana, FL
National Provider Identifier
1093390197
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
18144 Issued in FL
Practice address
1404 S Dixie Hwy Unit 2310
Lantana, FL 33462-5524
Phone
(786) 380-7903
NPI assigned
Mar 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 18144 FL Primary

Addresses

Primary practice location

1404 S Dixie Hwy Unit 2310
Lantana, FL 33462-5524

Mailing address

752 NE 162ND St
Miami, FL 33162-3668

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WebPT

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
18144FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1093390197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 NE 162ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331623668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 S DIXIE HWY UNIT 2310",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334625524",
            "telephone_number": "786-380-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESIUS",
        "first_name": "ROSE LAURE",
        "middle_name": "LOUIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "18144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "address_1": "1404 S Dixie Hwy Unit 2310",
            "city": "Lantana",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334625524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lantana, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.