Active NPI
Ashley Marie Bagwell Rosario, OTR/L
- Pediatric Occupational Therapist
- Temecula, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 19589
- Practice address
- 28991 Old Town Front St Ste 101
Temecula, CA 92590-2858 - Phone
- (760) 207-7934
- NPI assigned
- Jun 3, 2020
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 19589 | CA | Primary |
Addresses
Primary practice location
28991 Old Town Front St Ste 101
Temecula, CA 92590-2858
Mailing address
1629 Mission Meadows Dr
Oceanside, CA 92057-5716
Phone (760) 994-7862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Grand Oak Dr
Fayetteville, GA 30214-4632
Phone (770) 626-5340
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Bone & Joint, LLC | Current | Accepting new patients | |
| Georgia Bone & Joint, LLC | Current | Accepting new patients | |
| JJ Kemp Enterprises | Pediatrics | Past | Accepting new patients |
Locations
125 Grand Oak Dr
Fayetteville, GA 30214
Phone (770) 626-5340
1755 Highway 34 E
Ste 1300
Newnan, GA 30265
Phone (770) 254-7850
1755 Highway 34 E
Ste 2200
Newnan, GA 30265
Phone (770) 502-2151
Organizations & group practices 3
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.
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- NPI 1447276811
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- Sports Medicine (Orthopaedic Surgery) Physician
- Covington, GA
- NPI 1821855719
-
dba Little Trees Pediatric Therapy
- Pediatric Occupational Therapist
- Temecula, CA
- NPI 1578936225
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1477177541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1629 MISSION MEADOWS DR",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920575716",
"telephone_number": "760-994-7862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28991 OLD TOWN FRONT ST STE 101",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925902858",
"telephone_number": "760-207-7934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO",
"first_name": "ASHLEY",
"middle_name": "MARIE BAGWELL",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-03",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "19589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.