NPIMap

Individual provider Active NPI

Stacy Sue Rosello, MA OTR/L

  • Pediatric Occupational Therapist
  • Pittsburgh, PA
National Provider Identifier
1811299381
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OC003591L Issued in PA
Practice address
121 Brookside Blvd
Pittsburgh, PA 15241-1564
Phone
(412) 212-1139
NPI assigned
Dec 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Occupational Therapist 225XM0800X OC003591L PA
Neurorehabilitation Occupational Therapist 225XN1300X OC003591L PA
Physical Rehabilitation Occupational Therapist 225XP0019X OC003591L PA
Pediatric Occupational Therapist 225XP0200X OC003591L PA Primary
Occupational Therapist 225X00000X OC003591L PA
Environmental Modification Occupational Therapist 225XE0001X OC003591L PA
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X OC003591L PA

Addresses

Primary practice location

121 Brookside Blvd
Pittsburgh, PA 15241-1564

Mailing address

121 Brookside Blvd
Pittsburgh, PA 15241-1564
Phone (412) 212-1139

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
OC003591LPAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace the Child, LTD. Occupational Therapist Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1811299381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BROOKSIDE BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411564",
            "telephone_number": "412-212-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BROOKSIDE BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411564",
            "telephone_number": "412-212-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSELLO",
        "first_name": "STACY",
        "middle_name": "SUE",
        "credential": "MA OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "PA",
            "license": "OC003591L",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "PA",
            "license": "OC003591L",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "PA",
            "license": "OC003591L",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "OC003591L",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC003591L",
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "PA",
            "license": "OC003591L",
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "PA",
            "license": "OC003591L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.