Gregory Mark Rostker, CTRS

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

24125 Issued in MI

Practice address

1594 Beachwood Dr
Walled Lake, MI 48390-5881

Phone

(248) 910-7425

NPI assigned

Aug 9, 2022

Last updated

Aug 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rostker Recreational Therapy Services LLC

  • Recreation Therapist
  • Walled Lake, MI
  • NPI 1649024761

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1720716699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 BEACHWOOD DR",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483905881",
            "telephone_number": "248-910-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1594 BEACHWOOD DR",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483905881",
            "telephone_number": "248-910-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSTKER",
        "first_name": "GREGORY",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "CTRS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Recreation Therapist",
            "state": "MI",
            "license": "24125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Sharon Dhanam Reuben
• Rick J Deroven DDS PC
• Ryan P Rivamonte, DDS
• Regina Elizabeth Rizk, MD
• Rostker Recreational Therapy Services LLC
• Stephanie R Roth
• Maranda Camille Rowland
• Breana Noreen Rozbicki
• RS Physical Therapy Inc
• Connor James Rumple

• Recreation Therapist in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• Recreation Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.