Active NPI
Elissa C Rosenthal, OTRL
- Early Intervention Provider Agency
- Sharon, MA
National Provider Identifier
1841451846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 873
- Practice address
- 778 S Main St
Unit 2 Shaws Plaza
Sharon, MA 02067-2841 - Phone
- (781) 784-0920
- NPI assigned
- Jun 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 873 | MA | Primary |
Addresses
Primary practice location
778 S Main St
Unit 2 Shaws Plaza
Sharon, MA 02067-2841
Mailing address
443 Massapoag Ave
Sharon, MA 02067-3014
Phone (781) 784-8182
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 873 | MA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visions of Independence, LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Sharon, MA
- NPI 1992751457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228348800000",
"number": "1841451846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 MASSAPOAG AVE",
"city": "SHARON",
"state": "MA",
"postal_code": "020673014",
"telephone_number": "781-784-8182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "778 S MAIN ST",
"address_2": "UNIT 2 SHAWS PLAZA",
"city": "SHARON",
"state": "MA",
"postal_code": "020672841",
"telephone_number": "781-784-0920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "ELISSA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2008-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "MA",
"license": "873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sharon, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.