Rose Rawson

Individual provider Active NPI Occupational Therapist · Dousman, WI

NPI 1598522005 · NPPES record last updated Mar 1, 2024

Key facts

NPI
1598522005
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
8520-26 (WI)
Practice address
410 N Main St
Dousman, WI 53118-8853
Phone
(414) 329-2500
NPI assigned
Mar 1, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
8520-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Wisconsin Peds, LLC Occupational Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 8520-26 WI Yes

Addresses

Primary practice location

410 N Main St
Dousman, WI 53118-8853

Mailing address

511 Maple Way S
Waukesha, WI 53188-3959
Phone (262) 443-5314

Other providers in Dousman, WI

All providers in Dousman, WI · Occupational Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.