Erica Lynn Roselli, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP009526 Issued in PA

Practice address

1194 Naamans Creek Rd
Garnet Valley, PA 19060-1615

Phone

(610) 558-7840

NPI assigned

Dec 9, 2018

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1544313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544313600000",
    "number": "1639640139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191464808",
            "telephone_number": "484-947-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1194 NAAMANS CREEK RD",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190601615",
            "telephone_number": "610-558-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSELLI",
        "first_name": "ERICA",
        "middle_name": "LYNN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-09",
        "last_updated": "2018-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP009526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precision Performance Physical Therapy
• Stacey Price, RN
• Primbio Research Institute LLC
• Pro Medical East LLC
• John P Rodzvilla, M.D.
• Christian Rudawsky
• Andrew Scott Shalit, D.M.D.
• Lawrence Shor, M.D.
• Dawn Sindoni
• Stephanie Soto, D.C.

• Occupational Therapy Assistant in Garnet Valley, PA
• Providers in Garnet Valley, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.