Camille Marguerite Rose, OTRL
Occupational Therapist in Champaign, IL. Individual provider (NPI-1).
NPI number1801002126
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1801002126
- Entity type
- Individual (NPI-1)
- Name
- Camille Marguerite Rose
- Credential
- OTRL
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 15, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 056005397 | IL | Yes |
Practice location
4102 Belmont PointChampaign, IL 61822
Phone 217-366-0033 · Fax 217-366-0012
Mailing address
1203 Edgerview DrMahomet, IL 61853-8998
Phone 217-586-2997
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 27 Occupational Therapist providers in Champaign · All 3,018 providers in Champaign
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