Carmen Rosales, OTD, OTR/ L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31006665A Issued in IN

Practice address

10331 Copper Tree PL
Fort Wayne, IN 46804-4284

Phone

(260) 446-9685

NPI assigned

May 18, 2020

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

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Therapy on Wheels, Inc.

  • Rehabilitation Clinic/Center
  • Greenwood, IN
  • NPI 1932654985
  Medicare reassignment

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1811510464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10331 COPPER TREE PL",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044284",
            "telephone_number": "260-446-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10331 COPPER TREE PL",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044284",
            "telephone_number": "260-446-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "CARMEN",
        "credential": "OTD, OTR/ L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31006665A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aquallah Rorer
• Nicholas Kent Rorick, DDS
• Patrick Ryan Rorick, BS
• Sherman Gale Rorick I, RN
• Blanca V Rosa
• Jerome Alegado Rosales, P.T.
• Khiara Rosales
• Ibijoke F Rosanwo
• Faith Marie Rose
• Jennifer Rose, RD

• Occupational Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.