Individual provider Active NPI

Rosemary Frausto, OTR/L

  • Occupational Therapist
  • El Segundo, CA
National Provider Identifier
1174270532
Registry record updated Mar 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
23203 Issued in CA
Practice address
615 N Nash St Ste 306
El Segundo, CA 90245-2850
Phone
(310) 535-0008
NPI assigned
Mar 6, 2022
Last updated
Mar 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2022

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 23203 CA Primary

Addresses

Primary practice location

615 N Nash St Ste 306
El Segundo, CA 90245-2850

Mailing address

542 Simmons Ave
Los Angeles, CA 90022-2732
Phone (323) 485-4629

Other practice location 1

2542 W 3rd St Ste C
Los Angeles, CA 90057-1929
Phone (213) 277-1042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220606002777 CA Practitioner - Occupational Therapist in Private Practice 7012395940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Made to Move Physical Therapy IncGroup PAC ID 6103825625, 6 clinicians

Practice addresses (Care Compare)

615 N Nash St
Suite 306
El Segundo, CA 90245-2850
Phone (310) 920-3952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23203CAMDProfessional Counselor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646524800000",
    "number": "1174270532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 SIMMONS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900222732",
            "telephone_number": "323-485-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N NASH ST STE 306",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452850",
            "telephone_number": "310-535-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2542 W 3rd St Ste C",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900571929",
            "country_code": "US",
            "telephone_number": "213-277-1042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAUSTO",
        "first_name": "ROSEMARY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-06",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "23203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.