Rosanna Degrezia, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

014185 Issued in NY

Practice address

8010 15TH Ave
Brooklyn, NY 11228-3118

Phone

(718) 757-6191

NPI assigned

Mar 9, 2009

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

Other names 1

• Ms. Rosanna Bumbalo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1902047780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 15TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283118",
            "telephone_number": "718-757-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 15TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283118",
            "telephone_number": "718-757-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGREZIA",
        "first_name": "ROSANNA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSANNA",
            "last_name": "BUMBALO",
            "prefix": "MS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Celena Degloma, MS LMT CD CLC CCCE
• Roberta Degnore
• Ana Cecilia Degoy-Shahin, MD
• Joan Degregorio, LCSW, ACSW
• Danielad Degrezia, PHARMD
• Jacqueline Sue Degroat, M.S.ED., PSY.D.
• Daria Degtyareva
• Ella Degtyareva, M.D.
• Margarita Degtyareva, DDS
• Olga Degtyareva, DDS

• Occupational Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.