Active NPI
Christy Rosenbauer, COTA
- Contractor
- Rice Lake, WI
National Provider Identifier
1699030015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 4871-27
- Practice address
- 1016 Lakeshore Dr
Rice Lake, WI 54868-1225 - Phone
- (715) 234-9101
- NPI assigned
- Jul 11, 2012
- Last updated
- Jul 11, 2012
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 4871-27 | WI | Primary |
Addresses
Primary practice location
1016 Lakeshore Dr
Rice Lake, WI 54868-1225
Mailing address
1016 Lakeshore Dr
Rice Lake, WI 54868-1225
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 |
|---|---|---|---|
| 4871-27 | WI | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341964800000",
"number": "1699030015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 LAKESHORE DR",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548681225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 LAKESHORE DR",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548681225",
"telephone_number": "715-234-9101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBAUER",
"first_name": "CHRISTY",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-11",
"last_updated": "2012-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "WI",
"license": "4871-27",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rice Lake, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.