Individual provider Active NPI

Rebecca Howard Rode, MS,OTR/L

  • Occupational Therapist
  • Geneseo, IL
National Provider Identifier
1114161577
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6646-26 Issued in WI
Practice address
704 S Illinois St
Geneseo, IL 61254-1782
Phone
(309) 944-3072
NPI assigned
Apr 28, 2009
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 002003 IA
Occupational Therapist 225X00000X 31003637A IN
Occupational Therapist 225X00000X 6646-26 WI Primary
Occupational Therapist 225X00000X 056007579 IL

Addresses

Primary practice location

704 S Illinois St
Geneseo, IL 61254-1782

Mailing address

7818 Big Sky Dr
Ste 217
Madison, WI 53719-2840
Phone (219) 588-8275

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
002003IAMDOccupational Therapist
056007579ILMDOccupational Therapist
31003637AINMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1114161577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7818 BIG SKY DR",
            "address_2": "STE 217",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192840",
            "telephone_number": "219-588-8275",
            "fax_number": "608-709-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 S ILLINOIS ST",
            "city": "GENESEO",
            "state": "IL",
            "postal_code": "612541782",
            "telephone_number": "309-944-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODE",
        "first_name": "REBECCA",
        "middle_name": "HOWARD",
        "credential": "MS,OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "002003",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31003637A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6646-26",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056007579",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneseo, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.