Lacrecia Rosser, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

OT003321 Issued in GA

Practice address

240 Hedgerow TRL
Fayetteville, GA 30214-7270

Phone

(678) 485-9882

NPI assigned

Sep 11, 2008

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

Other identifiers 1

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": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1235388596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HEDGEROW TRL",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147270",
            "telephone_number": "678-485-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HEDGEROW TRL",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147270",
            "telephone_number": "678-485-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSER",
        "first_name": "LACRECIA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "GA",
            "license": "OT003321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "753263090A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rose'S Hands
• Charity Nikole Roseberry, PMHNP-BC
• Leslie Rosenblatt-Brown, PA-C
• Jacqueline Denise Ross, CRNP
• Jose Rossello, MD
• Decheyla Rouse
• Spencer O. Rowland, PA
• Roza K Adamczyk MD PC
• RSPS Fayetteville ASC LLC
• Wanda Thornton Rucker, MS

• Gerontology Occupational Therapist in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Gerontology Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.