Rosemary Kennedy Wisniewski, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201002230 Issued in MI

Practice address

51850 Dequindre Rd
Suite 1
Shelby Township, MI 48316-2806

Phone

(586) 991-0801

Fax

(586) 991-0804

NPI assigned

Feb 9, 2010

Last updated

Feb 9, 2010By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1912239435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12863 WINDSOR CT",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483134176",
            "telephone_number": "586-731-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51850 DEQUINDRE RD",
            "address_2": "SUITE 1",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483162806",
            "telephone_number": "586-991-0801",
            "fax_number": "586-991-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "ROSEMARY",
        "middle_name": "KENNEDY",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201002230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.