Active NPI
Rose Jael Luncasu-Rolea, OTR
- Occupational Therapist
- Issaquah, WA
National Provider Identifier
1659943009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT61152118
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61152118 | Other | WA | WASHINGTON 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
| License | State | Type | Specialty |
|---|---|---|---|
| OT61152118 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RWW Pediatric Rehab Services LLC | Occupational Therapist | Current | 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.