Shawna Rossberg, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-177 Issued in ID

Practice address

2200 Ironwood PL
Coeur D Alene, ID 83814-2610

Phone

(208) 667-6486

NPI assigned

Jul 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093913956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 IRONWOOD PL",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142610",
            "telephone_number": "208-667-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 IRONWOOD PL",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142610",
            "telephone_number": "208-667-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSBERG",
        "first_name": "SHAWNA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ID",
            "license": "OTA-177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Carol Rose, CPHT
• Janessa Rosenberger
• Stacey Marie Roska
• Cheyenne Rachel Ross
• Gary Rossberg, COTA/L
• Louise Frances Rossi, MA-CCC-SLP
• Roger J. Roth, D.M.D.
• Rebecca McKayl Rothie
• Devin Daniel Rourke, DDS
• Teri Renee Rouse, FNP-C

• Occupational Therapy Assistant in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Occupational Therapy Assistant in Idaho

• 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.