Individual provider Active NPI

Judith Ann Rosevear, M.S.,OTR/L

  • Occupational Therapist
  • Bellevue, WA
National Provider Identifier
1356522346
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 60067862 Issued in WA
Practice address
15650 NE 24TH St Ste C3
Bellevue, WA 98008
Phone
(208) 251-1747
NPI assigned
Nov 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT553 ID
Occupational Therapist 225X00000X 067850 OR
Occupational Therapist 225X00000X 31001125A IN
Occupational Therapist 225X00000X OT 60067862 WA Primary

Addresses

Primary practice location

15650 NE 24TH St Ste C3
Bellevue, WA 98008

Mailing address

15650 NE 24TH St Ste C3
Bellevue, WA 98008-2460
Phone (208) 251-1747

Other identifiers 1

IdentifierTypeStateIssuer
2064337MedicaidWA

Other names 1

  • Mrs. Judith Ann Rosevear-Pusey Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171107002085 WA Practitioner - Occupational Therapist in Private Practice 5395019848 Practice locations: Bellevue, WA

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Indiana University School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

875 140TH Ave NE
Suite 103
Bellevue, WA 98005-3400
Phone (425) 531-9886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT553IDMDOccupational Therapist
31001125AINMDOccupational Therapist
067850ORMDOccupational Therapist
OT 60067862WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Diversified Pain & Movement Therapy CurrentSince Jan 15, 2015 Accepting new patients

Locations

875 140th Ave NE
Ste 103
Bellevue, WA 98005
Phone (425) 502-7942

15650 NE 24th St
Ste C3
Bellevue, WA 98008
Phone (206) 713-0354

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1195344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1356522346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15650 NE 24TH ST STE C3",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082460",
            "telephone_number": "208-251-1747",
            "fax_number": "425-947-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15650 NE 24TH ST STE C3",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98008",
            "telephone_number": "208-251-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEVEAR",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.S.,OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-18",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT553",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "067850",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31001125A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT 60067862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2064337",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "ROSEVEAR-PUSEY",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "M.S.,OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.