Rosette May Cruz Meadows, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

D04516454 Issued in AZ

Practice address

16471 N 175TH Dr.
Surprise, AZ 85388-8538

Phone

(623) 428-3510

NPI assigned

Oct 23, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rosette May Cruz Dumlao Former name

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": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1720599319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16471 N 175TH DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853883119",
            "telephone_number": "623-428-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16471 N 175TH DR.",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853888538",
            "telephone_number": "623-428-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "ROSETTE MAY",
        "middle_name": "CRUZ",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "D04516454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSETTE MAY",
            "last_name": "DUMLAO",
            "middle_name": "CRUZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Medical and Surgical Health and Healing Institute, L.L.C.

• Occupational Therapy Assistant in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.