Individual provider Active NPI

Michelle Leann Rosen, OTRL

  • Neurorehabilitation Occupational Therapist
  • Bozeman, MT
National Provider Identifier
1427108679
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
License
981 Issued in MT
Practice address
2135 Charlotte St
Suite 3
Bozeman, MT 59718-2739
Phone
(406) 586-8030
Fax
(406) 586-8036
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational Therapist 225XN1300X 981 MT Primary

Addresses

Primary practice location

2135 Charlotte St
Suite 3
Bozeman, MT 59718-2739

Mailing address

1111 Meadow LN
Bozeman, MT 59715-9248
Phone (406) 600-9584

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081204000715 MT Practitioner - Occupational Therapist in Private Practice 0244391522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuro Rehab, LLCGroup PAC ID 7618368473, 5 clinicians

Practice addresses (Care Compare)

2135 Charlotte St
Suite 3
Bozeman, MT 59718-2741
Phone (406) 586-8030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
981MTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Rehab, LLC Neurorehabilitation CurrentSince Dec 31, 2021 Accepting new patients

Locations

2135 Charlotte St
Ste 3
Bozeman, MT 59718
Phone (406) 586-8030

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1427108679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEADOW LN",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597159248",
            "telephone_number": "406-600-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 CHARLOTTE ST",
            "address_2": "SUITE 3",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182739",
            "telephone_number": "406-586-8030",
            "fax_number": "406-586-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "MICHELLE",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "MT",
            "license": "981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.