Active NPI
Joannah Hope Roush-Cornell, COTAL
- Occupational Therapy Assistant
- Rutland, VT
National Provider Identifier
1386789857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 073-0000159
- Practice address
- 88 Park St
Rutland, VT 05701-4710 - Phone
- (802) 775-7612
- NPI assigned
- Feb 21, 2007
- 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 Therapy Assistant | 224Z00000X | 073-0000159 | VT | Primary |
Addresses
Primary practice location
88 Park St
Rutland, VT 05701-4710
Mailing address
504 Stevens Rd
Pittsford, VT 05763-9219
Phone (802) 558-5096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 073-0000159 | VT | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386789857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 STEVENS RD",
"city": "PITTSFORD",
"state": "VT",
"postal_code": "057639219",
"telephone_number": "802-558-5096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 PARK ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014710",
"telephone_number": "802-775-7612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSH-CORNELL",
"first_name": "JOANNAH",
"middle_name": "HOPE",
"name_prefix": "Mrs.",
"credential": "COTAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "VT",
"license": "073-0000159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.