Douglas Ryan Rosentrater, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3630 Issued in CA

Practice address

9909 Mira Mesa Blvd
Ste 120
San Diego, CA 92131-1056

Phone

(858) 693-0436

Fax

(858) 693-0437

NPI assigned

Jul 26, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Barbara Jean Boutelle Carlsbad Physical Therapy

  • Physical Therapist
  • San Diego, CA
  • NPI 1699723098

  Occupational Therapist

  NPD (past)
• Physical Rehabilitation and Hand Centers Inc

  • Physical Therapist
  • Chandler, AZ
  • NPI 1548343635

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1124306048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 S ANDREASEN DR STE C",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920291916",
            "telephone_number": "760-591-7750",
            "fax_number": "760-294-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9909 MIRA MESA BLVD",
            "address_2": "STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311056",
            "telephone_number": "858-693-0436",
            "fax_number": "858-693-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTRATER",
        "first_name": "DOUGLAS",
        "middle_name": "RYAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "3630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PENDING",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jami Datnow Rosenthal, LMFT
• Jonathan Ben Rosenthal, M.D.
• Maryann Rosenthal, PH.D.
• Murray H Rosenthal, D.O., FAPA
• Sara G Rosenthal, M.D.
• Marlene L Rosenwald-Becker, NP
• Kim Christine Roser-Kedward, LCSW
• Chammy Roses
• Jeanette Delos Reyes Rosete-Okamoto
• Denise Rosete, RBT

• Occupational Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.