Active NPI
Rosanne Marie Forquer, CTRS, CBIS
- Recreation Therapist
- East Lansing, MI
National Provider Identifier
1861632259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 54043
- Practice address
- 2775 E Lansing Dr
East Lansing, MI 48823-7755 - Phone
- (517) 332-1616
- Fax
- (517) 336-4797
- NPI assigned
- Feb 25, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 54043 | MI | Primary |
Addresses
Primary practice location
2775 E Lansing Dr
East Lansing, MI 48823-7755
Mailing address
1647 Spartan VLG
Apt. E
East Lansing, MI 48823-5924
Phone (517) 332-1616
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
| License | State | Type | Specialty |
|---|---|---|---|
| 54043 | MI | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235520000000",
"number": "1861632259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1647 SPARTAN VLG",
"address_2": "APT. E",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488235924",
"telephone_number": "517-332-1616",
"fax_number": "517-336-4797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2775 E LANSING DR",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488237755",
"telephone_number": "517-332-1616",
"fax_number": "517-336-4797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORQUER",
"first_name": "ROSANNE",
"middle_name": "MARIE",
"credential": "CTRS, CBIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-25",
"last_updated": "2009-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "MI",
"license": "54043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.