Rachel Gabrielle Wulfsohn, M.S., OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056011696 Issued in IL

Practice address

975 E Nerge Rd Ste W20
Roselle, IL 60172-4812

Phone

(224) 520-8562

NPI assigned

Oct 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rachel Gabrielle Friedman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midwest Speech Therapy, PC

  • Speech-Language Pathologist
  • Bloomingdale, IL
  • NPI 1154780740

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1154872844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 N WILKE RD STE H",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E NERGE RD STE W20",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601724812",
            "telephone_number": "224-520-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULFSOHN",
        "first_name": "RACHEL",
        "middle_name": "GABRIELLE",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056011696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "FRIEDMAN",
            "middle_name": "GABRIELLE",
            "credential": "M.S., OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Roselle, IL
• Providers in Roselle, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.