Active NPI
Becky Ann Rommel, OT
- Pediatric Occupational Therapist
- Saint Joseph, MI
National Provider Identifier
1043657992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 5201006618
- Practice address
- 1208 Main St
Saint Joseph, MI 49085-1587 - Phone
- (269) 313-2248
- NPI assigned
- Jun 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 5201006618 | MI | Primary |
Addresses
Primary practice location
1208 Main St
Saint Joseph, MI 49085-1587
Mailing address
1208 Main St
Saint Joseph, MI 49085-1587
Phone (269) 313-2248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5201006618 | Other | MI | OCCUPATIONAL THERAPIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201006618 | MI | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370217600000",
"number": "1043657992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 MAIN ST",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490851587",
"telephone_number": "269-313-2248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 MAIN ST",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490851587",
"telephone_number": "269-313-2248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMMEL",
"first_name": "BECKY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-03",
"last_updated": "2013-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MI",
"license": "5201006618",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPIST LICENSE",
"identifier": "5201006618",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.