Rosemary Adolph, MOT
Individual provider Active NPI Case Manager/Care Coordinator · Marshall, TX
NPI 1992819783 · NPPES record last updated Aug 6, 2019
Key facts
- NPI
- 1992819783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- MCK-3752- Rav 4
Rav 4--Travel
Marshall, TX 75670 - Phone
- (903) 934-2593
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006279-1 | NY | MD | Physical Therapy Assistant |
| 107750 | TX | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 107750 | TX | |
| Human Factors Occupational Therapist | 225XH1300X | 006279-1 | NY | |
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
MCK-3752- Rav 4
Rav 4--Travel
Marshall, TX 75670
Mailing address
609 Black St
Marshall, TX 75670-5204
Phone (903) 935-7330
Other practice location 1
3184 Grand Concourse
2G
Bronx, NY 10458-1007
Phone (718) 365-1100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01982998 | Medicaid | NY |
Other providers in Marshall, TX
- Access Family Health
- Access Family Health, PA
- Activstyle, LLC
- Brittany Adams
- Mark Watson Adams
- Advance Counseling and Therapy
- Advocate Medical Services, LLC
- Gordon Keith Alcox
- Lia Alexander
- Mohd-Taha Ali
All providers in Marshall, TX · Case Manager/Care Coordinator in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.