Juan Rosales Jr.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

119536 Issued in TX

Practice address

823 17TH St NW
East Grand Forks, MN 56721-1125

Phone

(701) 741-0239

NPI assigned

Dec 4, 2018

Last updated

Dec 4, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• One Choice Physical Therapy Inc.

  • Physical Medicine & Rehabilitation Physician
  • Rancho Santa Margarita, CA
  • NPI 1912416744
  NPD

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1609346568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 17TH ST NW",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211125",
            "telephone_number": "701-741-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 17TH ST NW",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211125",
            "telephone_number": "701-741-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "JUAN",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "119536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christlie A Rene
• Ashlee Richards, PHARM. D.
• Riverview Healthcare Association (Riverview Recovery Center)
• Riverview Healthcare Association
• Riverview Healthcare Association
• Jocelyn Rozeveld
• Saeed Amin Saeed
• Sanford Clinic North (Sanford Health 621 Demers Ave Clinic)
• Sanford Clinic North (Sanford Health 929 Central Ave Clinic)
• Sanford Medical Center Fargo (Sanford Health 621 Demers Ave Clinic)

• Occupational Therapist in East Grand Forks, MN
• Providers in East Grand Forks, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.