MR. JULIUS R ROSALES OT
NPI 1518630771
Occupational Therapist - Hand in Waldorf, MD
NPI Status: Active since July 26, 2021
Contact Information
3320 CRAIN HWY STE 205
WALDORF, MD
ZIP 20603
Phone: (301) 870-7366
Fax: (301) 870-6717
- Individual
- Male
- Years of Experience 6
- Occupational Therapist
- Hand
- Accepts Medicare Approved Payment
About JULIUS ROSALES
This page provides the complete NPI Profile along with additional information for Julius Rosales, a provider established in Waldorf, Maryland with a medical specialization in Occupational Therapist, focusing in hand and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1518630771 assigned on July 2021. The practitioner's primary taxonomy code is 225XH1200X with license number T01217 (MD). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1518630771
- Provider Name
- MR. JULIUS R ROSALES OT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3320 CRAIN HWY STE 205 WALDORF, MD 20603
- Location Phone
- (301) 870-7366
- Location Fax
- (301) 870-6717
- Mailing Address
- PO BOX 791217 BALTIMORE, MD 21279
- Mailing Phone
- (301) 932-4785
- Mailing Fax
- (301) 870-6717
- Medical School Name
- OTHER
- Graduation Year
- 2021
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-26-2021
- Last Update Date
- 09-07-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Occupational Therapist Hand
- Taxonomy Code
- 225XH1200X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- T01217
- License State
- MD
Medicare Participation & PECOS Enrollment Status
Julius Rosales is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 6305241175
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20210908001478
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Application of ultrasound, each 15 minutes
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
Evaluation for occupational therapy, typically 30 minutes
Re-evaluation for occupational therapy, typically 30 minutes
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
Therapy procedure using functional activities
Therapy procedure using manual technique, each 15 minutes
Ultrasound is a medical procedure that uses high-frequency sound waves to capture live images from inside your body. It's a painless process typically lasting 15 minutes per session. This method aids in diagnosing conditions and monitoring health without any radiation exposure.
This service was performed 198 times for 54 patientsElectrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
This service was performed 88 times for 15 patientsAn evaluation for occupational therapy is a process where a therapist assesses your physical and mental abilities to perform daily activities. This 30-minute session helps identify any difficulties you may have and develop strategies for improvement.
This service was performed 37 times for 37 patientsA re-evaluation for occupational therapy is a 30-minute session where your therapist assesses your progress and updates your treatment plan. It's crucial to ensure the therapy continues to meet your needs and help improve your daily living skills.
This service was performed 53 times for 32 patientsThis therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
This service was performed 32 times for 13 patientsThis therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
This service was performed 699 times for 88 patientsA therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
This service was performed 300 times for 67 patientsThis therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
This service was performed 338 times for 72 patientsReviews for MR. JULIUS R ROSALES OT
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1518630771, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518630771, enumerated as an "individual" on July 26, 2021.
The provider is located at 3320 CRAIN HWY STE 205 WALDORF, MD 20603 and the phone number is (301) 870-7366.
Occupational Therapist with taxonomy code 225XH1200X and a focus in Hand.