Rosa Marilyn Coley Jr.

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

51 W Schaumburg Rd
Schaumburg, IL 60194-3506

Phone

(847) 607-1113

NPI assigned

Mar 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Westside Childrens Therapy

  • Physical Therapist
  • Joliet, IL
  • NPI 1972783900
  NPD (past)

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1770042913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4157 JUDD AVE",
            "city": "SCHILLER PARK",
            "state": "IL",
            "postal_code": "601761813",
            "telephone_number": "312-206-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 W SCHAUMBURG RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943506",
            "telephone_number": "847-607-1113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5404 W School St Apt 2",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606414171",
            "country_code": "US",
            "telephone_number": "312-206-5639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEY",
        "first_name": "ROSA",
        "middle_name": "MARILYN",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louise Ann Cohen, MSW,LCSW
• Elizabeth Shulkin Cohn, D.D.S
• Lori Colleen Colbert, COTA
• Cole Vision Corporation
• Colette a Sippel Physical Therapy LLC
• Collaborative Healing
• Ashley Collazo
• Janet Collins, M.D., MPH
• Rebecca Comas
• Comfort Dental Care LLC

• Behavior Technician in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.