Individual provider Active NPI

Lee Rosenstrauch, OTR/L

  • Occupational Therapist
  • San Diego, CA
National Provider Identifier
1760622484
Registry record updated Feb 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 8672 Issued in CA
Practice address
9135 Judicial Dr Apt 3303
San Diego, CA 92122-4657
Phone
(858) 228-6830
NPI assigned
Feb 21, 2009
Last updated
Feb 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 8672 CA Primary

Addresses

Primary practice location

9135 Judicial Dr Apt 3303
San Diego, CA 92122-4657

Mailing address

9135 Judicial Dr Apt 3303
San Diego, CA 92122-4657
Phone (858) 228-6830

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

LicenseStateTypeSpecialty
OT 8672CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1235174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235174400000",
    "number": "1760622484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 JUDICIAL DR APT 3303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921224657",
            "telephone_number": "858-228-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 JUDICIAL DR APT 3303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921224657",
            "telephone_number": "858-228-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENSTRAUCH",
        "first_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-21",
        "last_updated": "2009-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 8672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2009; 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.