David Wayne Rose, OTR L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR670 Issued in AR

Practice address

4300 W 7TH St
PMRS 117
Little Rock, AR 72205-5446

Phone

(501) 257-6489

Fax

(501) 257-6419

NPI assigned

Sep 16, 2006

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689770737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HUNTING HILL LN",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722273824",
            "telephone_number": "501-257-6489",
            "fax_number": "501-257-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W 7TH ST",
            "address_2": "PMRS 117",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055446",
            "telephone_number": "501-257-6489",
            "fax_number": "501-257-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Smith Psychology PLLC
• Dawnita Rose-Allen, LPN
• Allyson Nicole Rose, PT
• Brittany Rose, QBHP
• David Rose
• Donald Lee Rose, RN
• Johnathan Noble Rose, APRN- CNP
• Joseph G Rose, MD
• Julianna Belle Rose
• Lillie Rose, QBHP

• Occupational Therapist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.