Mary Ann Rose

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

382-27 Issued in WI

Practice address

125 Byrd Ave
Neenah, WI 54956-4015

Phone

(920) 725-7869

NPI assigned

Jul 16, 2008

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 identifiers 1

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1932363199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BYRD AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BYRD AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564015",
            "telephone_number": "920-725-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "MARY ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "382-27",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40875700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Fischer, D.C.-LLC
• Ronin Neurological Services, LLC
• Jamie Roovers, MS
• John P Rosculet, MD
• Katrina A. Rosculet, MD
• Noreen Ellen Rose, NP
• Alyssa Ann Rotzenberg
• Roundys Supermarkets Inc
• Richard M. Rowe, O.D.
• James Michael Rudkins, MD

• Occupational Therapy Assistant in Neenah, WI
• Providers in Neenah, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.