Ellen Rosevear, OTR | |
235 Wealthy St Se, Grand Rapids, MI 49503-5247 | |
(616) 840-8210 | |
Not Available |
Full Name | Ellen Rosevear |
---|---|
Gender | Female |
Speciality | Occupational Therapist - Pediatrics |
Location | 235 Wealthy St Se, Grand Rapids, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649772229 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | 5201001380 (Michigan) | Primary |
Provider Name | Functional Kids Therapy Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578951380 PECOS PAC ID: 6800116633 Enrollment ID: O20150519002144 |
Mailing Address | Practice Location Address |
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Ellen Rosevear, OTR 235 Wealthy St Se, Grand Rapids, MI 49503-5247 Ph: (616) 840-8210 | Ellen Rosevear, OTR 235 Wealthy St Se, Grand Rapids, MI 49503-5247 Ph: (616) 840-8210 |
Deborah E. Ruediger, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3000 Monroe Ave Ne, Grand Rapids, MI 49505 Phone: 877-864-8171 | |
Jessica Michelle Flood, MS, OTR/L, CBIS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2750 E Beltline Ave Ne # Mc279, Grand Rapids, MI 49525 Phone: 616-430-4306 | |
Melissa Elizabeth Crow, MA, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 4218, Grand Rapids, MI 49503 Phone: 616-267-2437 | |
Jennifer Sawyer, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Kenmoor Ave Se Ste 110, Grand Rapids, MI 49546 Phone: 616-591-2905 | |
Leah Gibson, MS, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 Fulton St E, Grand Rapids, MI 49546 Phone: 616-949-4971 | |
Lindsay Chapman, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2251 E Paris Ave Se, Grand Rapids, MI 49546 Phone: 616-447-7799 | |
Laura L Bucks, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1111 Leffingwell Ave Ne, Suite 200, Grand Rapids, MI 49525 Phone: 616-459-7101 Fax: 616-954-6483 |