NICOLE J ROSALEZ MOT,OT
NPI 1578731667
Occupational Therapist in Sheboygan, WI

Active since February 12, 2008
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081(920) 459-1485 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2024, Dec 13, 2021, Jan 21, 2020 (3 updates tracked since 2020).

About Nicole J Rosalez Mot,ot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE J ROSALEZ MOT,OT (NPI 1578731667) is an individual occupational therapist in Sheboygan, Wisconsin, licensed in Wisconsin (4469026) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1578731667
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameNICOLE J ROSALEZCredential: MOT,OT
Location Address2414 KOHLER MEMORIAL DRSheboygan, WI 53081-3129
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (822) 326-2250
Sole ProprietorNo
Enumeration DateFebruary 12, 2008
Last NPPES UpdateApril 8, 20243 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1578731667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in WI · 4469026
Definition
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.
2414 KOHLER MEMORIAL DR, Sheboygan, WI 53081

Other Identifiers 1

Medicaid100043616WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole J Rosalez Mot,ot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Nicole Rosalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Optometrist
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Nurse Practitioner
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Nurse Practitioner (Psychiatric/Mental Health)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Registered Nurse (Diabetes Educator)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Family Medicine
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Physician Assistant
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Obstetrics & Gynecology
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Rosalez's NPI number?

The NPI number for Nicole Rosalez is 1578731667. It was assigned to this individual provider in the NPPES registry on February 12, 2008.

Where is Nicole Rosalez located?

Nicole Rosalez practices at 2414 Kohler Memorial Dr, Sheboygan, WI 53081. The listed phone number is (920) 459-1485.

What is Nicole Rosalez's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Nicole Rosalez enrolled in Medicare?

Yes. Nicole Rosalez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Rosalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Rosalez reassigns Medicare benefits to Aurora Medical Group, Inc. (Sheboygan, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Rosalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Rosalez accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Quartz list Nicole Rosalez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Rosalez was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.