Rostker Recreational Therapy Services LLC

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Legal business name

ROSTKER RECREATIONAL THERAPY SERVICES LLC

Practice address

1594 Beachwood Dr
Walled Lake, MI 48390-5881

Phone

(248) 910-7425

NPI assigned

Apr 15, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Mark Rostker, CTRS,MSA, CBISNPI 1720716699

Title

Owner

Phone

(248) 910-7425

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Mark Rostker, CTRS

  • Recreation Therapist
  • Walled Lake, MI
  • NPI 1720716699

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1649024761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 BEACHWOOD DR",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483905881",
            "telephone_number": "248-910-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1594 BEACHWOOD DR",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483905881",
            "telephone_number": "248-910-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSTKER RECREATIONAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "ROSTKER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-910-7425",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CTRS,MSA, CBIS"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Kathleen Pruneau, LLP
• Christina Sharon Dhanam Reuben
• Rick J Deroven DDS PC
• Ryan P Rivamonte, DDS
• Regina Elizabeth Rizk, MD
• Gregory Mark Rostker, CTRS
• Stephanie R Roth
• Maranda Camille Rowland
• Breana Noreen Rozbicki
• RS Physical Therapy Inc

• Recreation Therapist in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• Recreation Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.