Individual provider Active NPI

Marcia Marie Rosebrock, OTR/L

  • Occupational Therapist
  • Accokeek, MD
National Provider Identifier
1184057754
Registry record updated Aug 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
07139 Issued in MD
Practice address
2640 Saint Marys View Rd
Accokeek, MD 20607-3764
Phone
(419) 487-1590
NPI assigned
Aug 18, 2013
Last updated
Aug 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2013

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 07139 MD Primary

Addresses

Primary practice location

2640 Saint Marys View Rd
Accokeek, MD 20607-3764

Mailing address

2640 Saint Marys View Rd
Accokeek, MD 20607-3764
Phone (419) 487-1590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20181002000849 DC Practitioner - Occupational Therapist in Private Practice 9234480211 Reassigns benefits to 1 organization
I20181022002720 VA Practitioner - Occupational Therapist in Private Practice 9234480211 Reassigns benefits to 1 organization
I20201015002535 IN Practitioner - Occupational Therapist in Private Practice 9234480211 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07139MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab Indiana LLC Occupational Therapist CurrentSince Jul 16, 2020 Accepting new patients
Fox Rehabilitation Services LLC Occupational Therapist CurrentSince Aug 20, 2018 Accepting new patients

Locations

14901 Carey Rd
Carmel, IN 46033

7 Carnegie Plz
Cherry Hill, NJ 08003

20 E Piccadilly St
Ste 1114
Winchester, VA 22601

Organizations & group practices 2

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": "1376784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376784000000",
    "number": "1184057754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 SAINT MARYS VIEW RD",
            "city": "ACCOKEEK",
            "state": "MD",
            "postal_code": "206073764",
            "telephone_number": "419-487-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 SAINT MARYS VIEW RD",
            "city": "ACCOKEEK",
            "state": "MD",
            "postal_code": "206073764",
            "telephone_number": "419-487-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEBROCK",
        "first_name": "MARCIA",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-18",
        "last_updated": "2013-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Accokeek, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.