Individual provider Active NPI

Rose Jael Luncasu-Rolea, OTR

  • Occupational Therapist
  • Issaquah, WA
National Provider Identifier
1659943009
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT61152118 Issued in WA
Practice address
1301 4TH Ave NW Ste 100
Issaquah, WA 98027-9371
Phone
(425) 392-7989
NPI assigned
Jul 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT61152118 WA Primary

Addresses

Primary practice location

1301 4TH Ave NW Ste 100
Issaquah, WA 98027-9371

Mailing address

1626 172ND Ave NE
Bellevue, WA 98008-2916
Phone (919) 972-9257

Other identifiers 1

IdentifierTypeStateIssuer
61152118OtherWAWASHINGTON STATE DOH

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT61152118WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RWW Pediatric Rehab Services LLC Occupational Therapist CurrentSince Nov 19, 2023 Accepting new patients

Locations

1301 4th Ave NW
Ste 100
Issaquah, WA 98027
Phone (425) 392-7989

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.

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1659943009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 172ND AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082916",
            "telephone_number": "919-972-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 4TH AVE NW STE 100",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980279371",
            "telephone_number": "425-392-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNCASU-ROLEA",
        "first_name": "ROSE",
        "middle_name": "JAEL",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61152118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DOH",
            "identifier": "61152118",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.