Active NPI
Rose Regan, OTR/L
- Occupational Therapist
- Dayton, OH
National Provider Identifier
1972920775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 001942
- Practice address
- 136 S Ludlow St
Dayton, OH 45402-1813 - Phone
- (937) 219-4130
- NPI assigned
- Mar 19, 2014
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 001942 | OH | Primary |
Addresses
Primary practice location
136 S Ludlow St
Dayton, OH 45402-1813
Mailing address
9465 Gem Stone Dr
Dayton, OH 45458-4943
Phone (937) 219-4130
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 |
|---|---|---|---|
| 001942 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1972920775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9465 GEM STONE DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454584943",
"telephone_number": "937-219-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 S LUDLOW ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454021813",
"telephone_number": "937-219-4130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGAN",
"first_name": "ROSE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-19",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "001942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.