Mikayla Marie Rose, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201014088 Issued in MI

Practice address

38257 Mound Rd # 4
Sterling Heights, MI 48310-3466

Phone

(734) 855-9835

NPI assigned

Jan 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healing Haven, LLC

  • Developmental Disabilities Clinic/Center
  • Madison Heights, MI
  • NPI 1790110187
  Medicare reassignment NPD
• Therapeutic Concepts, LLC

  • Community/Behavioral Health Agency
  • Sterling Heights, MI
  • NPI 1497989263
  Medicare reassignment NPD

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1437623352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 EAST CHIPPEWA ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "734-855-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38257 MOUND RD # 4",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103466",
            "telephone_number": "734-855-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "MIKAYLA",
        "middle_name": "MARIE",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201014088",
            "primary": true
        },
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "MI",
            "license": "84350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Rooney
• Derek Brandon Roos, D.M.D.
• Root Access Therapeutics PLLC
• Roxanne B Ropponen, FNP-BC
• Rose Physical Therapy
• Mark Stephen Rosenberg, DO
• Michael Saul Rosenfeld, D.D.S.
• Geraldine D Rosete, NP
• Frank N Rosner, DDS
• Alexandria Maria Ross

• Occupational Therapist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.

Verify at the official NPI Registry.