Active NPI
Jessica Ariel Rosengold, OT
- Occupational Therapist
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT19028
- Practice address
- 560 S Lakewood Dr
Brandon, FL 33511-5015 - Phone
- (813) 978-9700
- NPI assigned
- Apr 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT19028 | FL | Primary |
Addresses
Primary practice location
560 S Lakewood Dr
Brandon, FL 33511-5015
Mailing address
13020 N Telecom Pkwy
Temple Terrace, FL 33637-0925
Phone (813) 978-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Orthopedic Clinic III, P.L. | Current | Accepting new patients | |
| Musculoskeletal Institute Chartered | Current | Accepting new patients | |
| Tallahassee Orthopedic Clinic III PL | Current | Accepting new patients |
Locations
560 S Lakewood Dr
Brandon, FL 33511
Phone (813) 657-8448
560 S Lakewood Dr
Ste 101
Brandon, FL 33511
Phone (813) 657-8448
2011 Harrison Ave
Panama City, FL 32405
Phone (850) 691-4188
803 W Main St
Perry, FL 32347
Phone (850) 584-7078
3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 210-1808
13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637
13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637
13020 N Telecom Pkwy
Temple Terrace, FL 33637
2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Tallahassee, FL
- NPI 1194778050
-
- Orthopaedic Surgery Physician
- Temple Terrace, FL
- NPI 1386639920
-
- Orthopaedic Surgery Physician
- New Port Richey, FL
- NPI 1245863034
-
- Durable Medical Equipment & Medical Supplies
- Panama City Beach, FL
- NPI 1497617948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1346746492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13020 N TELECOM PKWY",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370925",
"telephone_number": "813-978-9700",
"fax_number": "813-558-6185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 S LAKEWOOD DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115015",
"telephone_number": "813-978-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENGOLD",
"first_name": "JESSICA",
"middle_name": "ARIEL",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-05",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT19028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.