Marcia Marie Rosebrock, OTR/L
Individual provider Active NPI Occupational Therapist · Accokeek, MD
NPI 1184057754 · NPPES record last updated Aug 18, 2013
Key facts
- NPI
- 1184057754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 07139 (MD)
- Practice address
- 2640 Saint Marys View Rd
Accokeek, MD 20607-3764 - Phone
- (419) 487-1590
- NPI assigned
- Aug 18, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in DC, VA, IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07139 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab Indiana LLC | Occupational Therapist | Current |
Accepting new patients |
| Fox Rehabilitation Services LLC | Occupational Therapist | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 07139 | MD | Yes |
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
Other providers in Accokeek, MD
- Paramount Therapy Resources
- Angela M Prather
- Kim Marie Redfearn
- Yolanda Reid
- Resource Labs
- Ernestine Saint Louis
- Maureen Ann Sawyer
- Schafer Consortium of Counseling & Wellness Center
- Sasha Khalil Shaheen
- Quitasha Simmons
All providers in Accokeek, MD · Occupational Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.