MR. BRYAN DE ROSAS (NPI# 1235554486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235554486 |
| Entity Type | Individual |
| Full Name | MR. BRYAN DE ROSAS |
| Credential | OTR/L |
| Practice Address |
5130 W Jackson Blvd Chicago IL 60644-4332 |
| Mailing Address |
4828 N Nottingham Ave Chicago IL 60656-3825 |
| Practice Telephone | 7739218000 |
| Mailing Telephone | 3124209354 |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056.005948 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5130 W JACKSON BLVD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60644-4332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740351972 | Jackson Corp | Durable Medical Equipment & Medical Supplies | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2006-11-10 |
| 1437708963 | Jessica Lake | Speech-Language Pathologist | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2019-09-07 |
| 1376025304 | Loretto Hospital | Clinic/Center | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2018-09-06 |
| 1578941340 | Symphony Jackson Square LLC | Skilled Nursing Facility | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2015-05-13 |
| 1881006989 | Jennifer Burns | Occupational Therapist | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2014-05-22 |
| 1740540848 | Emily R Gomeztagle | Speech-Language Pathologist | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2012-05-22 |
| 1356578900 | Jackson Square Skilled Nursing Aand Living | Durable Medical Equipment & Medical Supplies | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2009-06-22 |
| 1588816623 | Jackson Corp | Skilled Nursing Facility | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2008-10-21 |
| 1255592234 | Green Healthcare Ltd. | Nurse Practitioner | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2008-06-22 |
| 1831364132 | Loretto Hospital | Clinic/Center | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2008-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535638 | Marta Yvonne Palmer | Technician | 5008 W Adams, Chicago, IL 60644 | 2019-09-04 |
| 1861056848 | B U I L D Incorporated | Social Worker | 5100 W Harrison St., Chicago, IL 60644 | 2019-04-25 |
| 1851806269 | Habilitative Systems, Inc. | Case Management | 4732 W Ohio St, Chicago, IL 60644 | 2017-12-07 |
| 1336408665 | Meghan Nancy Daw | Dietitian, Registered | 646 S Central Ave, Chicago, IL 60644 | 2012-05-07 |
| 1164790515 | Elizabeth Eleanor Reid-tate | Pharmacist | 5222 W. Madison Avenue, Chicago, IL 60644 | 2011-12-13 |
| 1134458466 | Power Teen Program | Psychologist | 300 N Central Ave, Chicago, IL 60644 | 2009-12-16 |
| 1417198342 | Betty Jean Lofton | Counselor | 5938 W. Midway Park, Chicago, IL 60644 | 2009-03-24 |
| 1881856094 | Sanjay M. Patel M.d. S.c. | Psychiatry & Neurology | 5730 W. Roosevelt Road, Chicago, IL 60644 | 2008-06-29 |
| 1639348691 | Ysl Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 5107-21 West Jackson Blvd, Chicago, IL 60644 | 2008-02-25 |
| 1073795845 | Maryanne Rakidzioski | Occupational Therapist | 5103 W Jackson Blvd, Chicago, IL 60644 | 2007-12-03 |
| Find all providers in zip 60644 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214019 | Kelly Shavonne Johnson-means | Occupational Therapist | 715 N Sawyer Ave, Chicago, IL 60624-1532 | 2020-10-28 |
| 1245837129 | Lisa Marie Park | Occupational Therapist | 4960 W Argyle St Apt 2, Chicago, IL 60630-4888 | 2020-10-05 |
| 1033728480 | Emily Mock | Occupational Therapist | 2739 N Mildred Ave Apt 3, Chicago, IL 60614-1459 | 2020-07-30 |
| 1699390781 | Katrina Morrissey | Occupational Therapist | 1722 N Newcastle Ave, Chicago, IL 60707-4422 | 2020-06-15 |
| 1225651623 | Amber Shannon-adams | Occupational Therapist | 7704 S Seeley Ave, Chicago, IL 60620-5747 | 2020-05-20 |
| 1558984989 | Timothy Hunt | Occupational Therapist | 2950 N Allen Ave Apt 2, Chicago, IL 60618-6702 | 2020-05-20 |
| 1881217461 | Demi Moses | Occupational Therapist | 3049 W Harrison St, Chicago, IL 60612-3342 | 2020-05-18 |
| 1144842683 | Mary Bares | Occupational Therapist | 6800 N Ozark Ave, Chicago, IL 60631-1277 | 2020-05-07 |
| 1689293920 | Rose D Duffy | Occupational Therapist | 1740 W Taylor St # C100, Chicago, IL 60612-7232 | 2020-04-15 |
| 1730708546 | Jasmine Darlene Murphy | Occupational Therapist | 12322 S Wallace St, Chicago, IL 60628-6420 | 2020-04-11 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.