Michael Rosengrant, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA60558795 Issued in WA

Practice address

10655 NE 4TH Street Suite 101
Bellevue, WA 98004

Phone

(425) 455-2225

Fax

(425) 454-7767

NPI assigned

Oct 7, 2015

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1346610045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10655 NE 4TH ST STE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045022",
            "telephone_number": "425-455-2225",
            "fax_number": "425-454-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10655 NE 4TH STREET SUITE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-455-2225",
            "fax_number": "425-454-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENGRANT",
        "first_name": "MICHAEL",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60558795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE",
            "identifier": "MA60558795",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin M. Rosen, OTR/L, CHT, CLT
• Allison Rosenbaum, MS, CCC-SLP
• Ilyse Shara Rosenberg, DO
• Reuben Rosenblatt
• Audrey Kim Rosenfeld, LICSW
• James F. Rosenwald, DDS
• Judith Ann Rosevear, M.S.,OTR/L
• Candice Ross, LMP
• Rudolf Ross
• Stephanie Ross

• Specialist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.