Mary Rose Soniregun, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

08151 Issued in MD

Practice address

800 S Frederick Ave Ste 101
Gaithersburg, MD 20877-4151

Phone

(240) 200-5305

NPI assigned

Jun 23, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mary Rose Simmons Former name

Medicare fee-for-service enrollment

Enrolled in DC

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.

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  • NPI 1336696079

  DC

  Medicare reassignment NPD
• Appelbaum Eyecare Associates

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  • NPI 1679971014

  Occupational Therapist

  NPD
• Metro Occupational Therapy LLC

  • Occupational Therapist
  • Gaithersburg, MD
  • NPI 1619628641
  NPD

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1578945895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S FREDERICK AVE STE 101",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774151",
            "telephone_number": "240-200-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S FREDERICK AVE STE 101",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774151",
            "telephone_number": "240-200-5305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6509 Democracy Blvd",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171639",
            "country_code": "US",
            "telephone_number": "301-897-8484",
            "fax_number": "301-897-8486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 Freeport Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152153301",
            "country_code": "US",
            "telephone_number": "412-784-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONIREGUN",
        "first_name": "MARY",
        "middle_name": "ROSE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC013911",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "08151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "SIMMONS",
            "middle_name": "ROSE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.