Rose Tilton, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6560-26 Issued in WI

Practice address

604 N 16TH St RM 104
Milwaukee, WI 53233-2117

Phone

(414) 288-6122

Fax

(414) 288-6079

NPI assigned

Jul 30, 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

• Rose Goyette Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marquette UniversityGroup PAC ID 0648221028, 15 clinicians

Practice addresses (Care Compare)

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.

• Marquette University

  • Physical Therapist
  • Milwaukee, WI
  • NPI 1396020194

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Onalaska, WI
  • NPI 1306336565

  Occupational Therapist

  Medicare reassignment NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Colby, WI
  • NPI 1881263606

  Occupational Therapist

  NPD
• Marquette University

  • Audiologist
  • Milwaukee, WI
  • NPI 1629556592
  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1598140683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 N CRAMER ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532111602",
            "telephone_number": "414-949-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N 16TH ST RM 104",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532332117",
            "telephone_number": "414-288-6122",
            "fax_number": "414-288-6079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "717 WESTOVER AVE",
            "address_2": "UNIT 2R",
            "address_purpose": "LOCATION",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23507",
            "country_code": "US",
            "telephone_number": "414-949-6480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILTON",
        "first_name": "ROSE",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119006581",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6560-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "GOYETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shundal Tillman
• Joshua Louis Tillmann, MD
• Zachary Daniel Tillotson, M.S. CFY-SLP
• Natalia Tilmont
• Mathew Andrew Tilson, APNP
• Time and Place Transportation LLC
• Timeless Touch Care LLC
• Sydney Timmer-Murillo, PHD
• Brittney K Timmerman, NP
• Mitchell Allen Timmons, D.O.

• Occupational Therapist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.